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Home My WebLink AboutCOM2018-00110 Cancelled Demo - COM Inspections - 3/20/2019 Inspection Line(360)427-7262 _G MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone:(360)42719670,ext.352 +r Mason County ' 615 W Alder St Shelton,WA 98584 rd COMMERCIAL BUILDING PERMIT COM2018-00110 OWNER: O'REILLY AUTOMOTIVE STORES INC RECEIVED: 9/20/2018 CONTRACTOR: LICENSE: EXP: ISSUED: 9/20/2018 SITE ADDRESS: 23030 NE STATE ROUTE 3 BELFAIR EXPIRES. 3/2 012 0 1 9 PARCEL NUMBER: 123325000942 LEGAL DESCRIPTION: SAM B THELER'S HOME&GARDEN TRACTS W 2.13 AC OF TR 17 PTN TR D OF SP#1225 PCL 1 OF BLA#98-69 S 33/44 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO OF OFFICE BUILDING HWY 3 N TO BELFAIR,SITE IS ON YOUR RIGHT General Information Construction I Occupancy Information Type of Use. OFFICE Insp.Area: 1 No.of Units. Type of Constr.: No.of Bathrooms: Occ.Group: Type of Work: DEM Fire Dist.: 2 No.of Stories: Exit Design.Load: Valuation: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear. Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1. Ft. SEPA?:No Comp.Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2018 00110 Please refer to the following pages for conditions of this permit_ Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty Type Qty. Type By pate Amount Receipt Building State Fee AMP QnnnntA ie tin 1Rnn Demolition Fee AMP Qnn91`11A Sirr Sn Cz?ntann Total $122.00 CASE NOTES FOR COM2018-00110 CONDITIONS FOR COM2018-00110 1} Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0 82. The person signing this condition is either the homeowner,agent for the owner or a registered contractor according to WA state law. X 2) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA). It is unlawful for any person to cause or allow the demolition (or major renovation)of any structure unless all asbestos containing materials have been identified and removed from the area to be demolished.Work shall not commence on an asbestos project or demolition project unless the owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360 586.1044/800.422.5623 www.orcaa org 3) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being nowith Masan County ordinances and building regulations. X 4) All permits expire 180 days after permit issuance or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the ermit holder have prevented action from being taken. No more than one extension may be granted. X COM2018-00110 Page 2 of 4 OWNER t BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APP AT N OF 180 DAYS WILL INVALIDATE THE APPLICATION. Sjg ture Date Scoi+,, � tad, Q!N�E, - REPR ES@ NTAto Ind cafe) CONTRACTOR Print Nameone COM2018-00110 Page 3 of 4 MASON COUNTY PERMIT NO. C *n 2v18+aJ- 10 COMMUNITY SERVICES DEPARTMENT BUILDING•PLANNING•FIRE MARSHAL EC WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.3 E , Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext. 352 V/ED Shelton,WA 98584 (360)482-5269 Elma ext. 352 AUG �f UV 27 2018 DEMOLITION PERMIT APPLICATION e15 W OWNER INFORMATION: CONTRACTOR INFORMATION: reet NAME: O'REILLY AUTOMOTIVE STORES, INC. NAME: GM NORTHRUP CO. MAILING ADDRESS:233 SOUTH PATTERSON MAILING ADDRESS: 15950 FRANKLIN TRAIL SE CITY: SPRINGFIELD STATE: MO ZIP: 65802 CITY:PRIOR LAKE STATE:MN ZIP:55372 PHONE:417-862-2674 CELL: PHONE:612-963-8694 CELL: EMAIL:Kuleya Bruce, BWCO(Owner Agent) EMAIL : Aaron@gmnorthrup.com kuleya@webbarch.com L&I PEG#GMNORPCO33MM EXP, 12/ 04/2019 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 12332-50-00942 FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED) : SITE ADDRESS 23030 NE ROUTE 3 CITY BELFAIR DIRECTIONS TO SITE ADDRESS: IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF[] STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES X❑ NO ❑ IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE.PLEASE CONTACT THE PLANNING DIVISION OF C0iViVUMTYDEVEL0PMENT PRIOR TO DEMOLITION TO ENSURE REDEVELOPMENT. USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) OFFICE BUILDING HOW WILL THE DEBRIS BE DISPOSED OF?: Hauled to landfill. PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED SEE ATTACHED OWNER/CONTRACTOR acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSf5FI?P.IN I�VITY—OF THIS PERMIT APPLICATION OF 180 DAYS JL INVALIDATE THE APPLICATION. Signature of Applicant Date X Kuleya Bruce OWNER/REPRESENTATIVE CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESICOND17fIONiS BUILDING DEPARTMENT PLANNING DEPARTMENT 0) _0 10N t y. Olympic Region Clean Air Agency �� "�►' 2940 Limited Lane NW Olympia,WA 98502 (360) 539-7610•FAX(360)491-6308 Demolition Permit South Bend Office(360)942-2137 v. Q RL'A L, i/ Port Townsend Office(360)338-6419 ., . www.ORC.AA.org M:�..too. Demolition and renovation projects within Clallam,Grays Harbor,Jefferson,Mason, Pacific,and Thurston counties REQUIRE A PERMIT and require that the following conditions be met prior to the demolition. Olympic Region Clean Air Agency(ORCAA)regulations define a demolition project as the wrecking,razing, leveling,dismantling,or burning(by a fire department for training purposes)of a structure,making the structure permanently uninhabitable or unusable.Renovations include the removing of load bearing structural members, but not to the extent to make the structure uninhabitable. The following information is merely a reference guide and not a substitute for agency regulations. 1. A good faith asbestos survey is required for any demolition.The survey must be conducted by a certified Asbestos Hazardous Emergency Response Act(AHERA)building inspector.Qualified contractors and inspectors may be found in your local Yellow Pages,through the Washington State Department of Labor and Industries,or on ORCAA's website. 2. Asbestos samples must be sent to a NVLAP Laboratory(National Voluntary Laboratory Accreditation Program)per 40 CFR 763.87.A list of labs can be found on ORCAA's website. 3. The start date on other structure demolitions must be at least 10 working days from the submission date of the complete application and payment. 4. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing material present in the structure to be demolished. 5. Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as such. 6. A copy of the asbestos survey and approved Demolition Permit must be kept on site and be available for review by Agency inspection personnel. 7. The original demolition permit will expire 1 year from start date.If the permit expires and the project is not complete, you must submit and pay for another demolition permit. Under no circumstances will a project be extended beyond 1 year from original submission date. ADDITIONAL REQUIREMENTS: In addition to Agency requirements,most building departments require a demolition permit(separate from ORCAA's Demolition Permit).The Washington State Department of Labor&Industries and the local fire authorities may also require notification for asbestos removal projects. "Owner Occupied Residential Dwelling"means any single family housing unit which is permanently or seasonally occupied by the owner of the unit both prior to and after the proposed project.This term includes houses,mobile homes, trailers,houseboats,and houses with`mother-in-law apartment'or a`guest room.'This term does not include structures that are demolished or renovated as part of a commercial or public project;nor does this term include any mixed-use building, structure,or installation that contains a residential unit,or any building that is leased or used as a rental,or for commercial purposes. o O CONCRETE MECHANICAL MANUFACTURED HOME CLate By m 00 Footings /Setbacks Ribbons r Gas Piping 1— o Interior Date By interior-Da*c: By bate By ;-< o Exterior Date By Exterior-Date B Set-up C Point Load/Isolated Footings INSULATION Date By O BG I SLAB INSULATION Date By Data By FIRE DEPARTMENT O Foundation Wails Floors Date By —I Date By Bata By DECKS m FRAMING Walls Date By Cl) Date By Data By PROPANE TANKS 0 PLUMBING Vault date By. _ X Date By OTHER Cn Groundwork Attic Type: Z Date By Date By bate By MW.V DRYWALL Type: n Int.Brace Wall O Date By Date BY ic Date By FINAL INSPECTIONry Water Line Fin Separation O Date By date t3y Dato By 00 Co CD Pass or Request Inspect. Type of Insp. Fail Date Date Dane By Comments c v m 0 .A 6347 Seaview Avenue NW AVA C Seattle, WA 98107 N kTTelephone 206-781-1449 ENVIRONMENTAL • GEOTECHNICAL BUILDING SCIENCES • MATERIALS TESTING August 3, 2018 Ms. Joanna Friske, P.E. Construction Design Manager O'Reilly Auto Enterprises, LLC. 233 S. Patterson Ave, Springfield, MO 65802 Subject: Pre-Demolition Asbestos Survey Potential O'Reilly Site (BFR) 23030 Northeast State Route 3 Belfair,Washington 98528 ATC Project Number: NPOR180095 Dear Ms. Friske; ATC Group Services LLC(ATC)was retained by O'Reilly Auto Enterprises, LLC to perform a pre-demolition asbestos survey of building materials prior to the demolition of the commercial/residential building located at 23030 NE State Route 3 in Belfair, Washington. A previous survey of this property was conducted on April 1, 2011 by ATC. ATC conducted this survey in preparation for demolition of the building. This report is an update to the previous survey report and includes testing of previously presumed ACM materials.This survey included a visual inspection and physical assessment to identify suspect asbestos-containing materials (ACMs) and evaluate their general condition. The scope of work for this survey included the sampling and laboratory analysis of suspect friable and non-friable ACM both inside and outside the building. 1.0 SITE DESCRIPTION The property is located in a mixed commercial and residential area in Belfair, Washington. The property consists of an unoccupied building, and was formerly used as a commercial office and as a residence. The building is single-story with a basement, comprises approximately 1,650 square feet, and was constructed in circa 1954. This structure is constructed of wood framing, with concrete masonry walls in the basement atop a concrete slab foundation. Exterior finishes included painted wood siding and asphaltic roofing shingles. The interior finishes include gypsum wallboard with a textured finish; carpet, vinyl sheet flooring, vinyl floor tile and exposed concrete flooring. The structure is heated with an electric forced air furnace located in the basement. 2.0 ACM SURVEY The asbestos survey was conducted in preparation for the demolition of the building. Samples were collected based on the Federal Regulations Part 163 (AHERA) for suspect RACMs. Bulk samples were collected from the property buildings and were shipped to the ATC Laboratory in Centennial, Colorado for analysis. ATC's laboratory is an American Industrial Hygiene Association - National Voluntary Lab Accreditation Program (NVLAP)accredited laboratory for asbestos analysis. During the July 29, 2018 survey,ATC collected a total of thirty(30) bulk samples of suspect ACMs from the property. If a material is identified as containing greater than 1% asbestos, it is considered to be an ACM. The complete asbestos laboratory report, dated August 1, 2018, is attached. The analytical results from the April 1, 2011 ACM survey are also attached. August 3, 2018 /AkT Page 2 of 6 / ATC Project No. NPOR180095 ENVIRONMENTAL GEOTECHNICAL BUILDING SCIENCES•MATERIALS TESTING 3.0 FINDINGS AND CONCLUSIONS The results of PLM laboratory analysis indicated that no asbestos-containing materials (ACM) were identified. ACM are those materials that contain greater than 1% asbestos. According to the previous ACM survey on April 1, 2011, the following materials were analyzed and found to contain asbestos concentrations greater than one percent (>1.0%) - Gypsum Board Wall System w/Joint Compound (Joint Compound—2% Chrysotile) As a wall/joint compound composite the wall system was found to contain less than one percent (<1%) asbestos and is not considered as ACM. 4.0 RECOMMENDATIONS ATC offers the following recommendations' Prior to performing demolition-related activities, ACMs that may be disturbed must be removed by a Washington State-licensed abatement contractor in accordance with applicable regulations ATC also recommends contracting the services of an environmental consulting firm to develop an Asbestos Project Design for the asbestos abatement project. In addition, ATC recommends hiring an Industrial Hygiene firm to monitor and document that the contractor activities comply with the L&I, OSHA, EPA ORCAA and applicable local city and county requirements. During the survey, ATC identified the composited wallboard and joint compound materials (wall system) to contain trace (less than one percent (<1%)) levels of asbestos and the wall system is not considered as ACM. Based on the intended demolition of the building, it is understood that the wall system with trace levels of asbestos will be disturbed Olympic Region Clean Air Agency(local NESHAP)does not regulate materials containing trace levels of asbestos (non ACM). however, the Washington State Depart of Labor and Industries (L&I) does regulate these materials for worker exposure, when they are disturbed. L&I does not consider the disturbance of wallboard and joint compound with trace asbestos content an asbestos abatement project, however the removal process of this kind of wall system is still regulated by L&I Employees and/or contractors may not use sanding or grinding or other destructive techniques on the wall surface and joint compound directly, unless specific engineering controls are taken to protect the work environment, per Washington Industrial Safety and Health Act (WISHA) Regional Directive (WRD) 23.30. • Since the building is scheduled for demolition., the wallboard system with trace asbestos can be left in place, but no visible emissions are allowed during the demolition.ATC recommends the constant application of water during demolition activities. For contractor compliance and until a negative exposure assessment (NEA) is performed during the demolition of the trace asbestos materials, the contractor will have to follow procedures set forth by the L&I under the WAC and WRD 23.30 including worker protection methods and the use of engineering controls. Due to the presence of asbestos, the use of controlled burn demolition is not an option. According to L&I, some examples of appropriate engineering controls include the use of wet, non-aggressive methods, prompt clean- up, and the use of vacuums equipped with high efficiency particulate air (HEPA) filters. Workers must have asbestos awareness and "hands-on" training as required by WAC 296-62-07722, paragraph (5) and WRD 23.30, Workers must also wear appropriate respiratory protection until air monitoring results determine that worker exposure is below the permissible exposure limit (PEL) for asbestos. r August 3,Ah of 6 / Page 3 of 6 XF kTcATC Project No. NPOR180095 ENVIRONMENTAL GEOTECHNICAL HILOING SCIENCES•MATERIALS TESTING The remaining materials were reported as non-detect for the presence of asbestos and are not regulated and can be removed and disposed of as construction debris. If any additional materials are discovered during renovation activities, these materials must be assumed to contain asbestos until sampling and analysis proves otherwise. 5.0 LIMITATIONS This report is not to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement Work Plan. Our professional services have been performed, our findings obtained, and our conclusions prepared in accordance with customary principles and practices in the fields of environmental science and engineering. This statement is in lieu of other statements either expressed or implied. This report does not warrant against future operations or conditions, nor does it warrant against operations or conditions present of a type or at a location not investigated. This report is certified to O'Reilly Auto Enterprises LLC. The scope of services performed in execution of this evaluation may not be appropriate to satisfy the needs of other users, and use or re-use of this document or the findings, conclusions, or recommendations is at the risk of said user 6.0 MONITORING OF DEMOLITION WITH TRACE ASBESTOS -COST ESTIMATE ATC has prepared a budgetary cost estimate to monitor demolition activities where building materials with trace asbestos (<1%) are disturbed. Cost estimates are based on ATC's visual estimation of quantity and monitoring cost ranges for similar projects. Costs for contractor mobilization, time of year, duration, and other variables such as electricity and water availability may affect the costs, ATC will not conduct abatement or demolition activities. These costs and all other related costs are the responsibility of the property owner. It should be noted that ATC did not verify all locations of ACMs, which may have been hidden due to building finishes and contents. Contractors should verify all quantities prior to demolition activities. O'REILLY AUTO PARTS—BELFAIR (BFR) 23030 NE STATE ROUTE 3 BELFAIR, WASHINGTON ATC PROJECT NUMBER: NPOR180095 Description Quantity(SF/LF) Unit Rate($) Total($) i Asbestos Consulting Services (Air Monitoring/Close-Out 1 day $2,000 $2,000 Documentation/Travel) Total Cost Estimate $2,000 1 August 3, 2018 / Page 4of6 ATC Project No. NPOR180095 ENVIRONMENTAL•REOTECNNICAL BUILDING SCIENCES.MATERIALS TESTING Attached are the laboratory results for the samples submitted. Please feel free to call us at 972-919-3321 should you have any questions or require additional information. Sincerely, ATC Group Services LLC Cody Bishop Kevin Headd, CIH, MBA, MS, LG, PMP Asbestos Inspector Certified Industrial Hygienist Direct Line+1 972-919-3305 Direct Line+1.704.743.8824 Email: cody.bishop(cDatcgs.com Email: kevin.headdAatcgs.com Dale M. Allison Martin H. Cohen Vice President, National Programs National Accounts Project Manager Direct Line +1 817 238 1801 Direct Line+1.614.367.7840 Email: dale.allison�atcgs.corn Email: martin.cohen0atcgs.com Attachments: Table 1 Sample Results Sample Location Maps PLM Summary Report and Chain of Custody Certifications Prior Report April 13, 2011 r r �� August 3, of 6 Page 5 of 6 ATC Project No. NPOR180095 ENVIRONMENTAL•GEOTECHNICAL BUILDING SCIENCES•MATERIALS TESTING TABLE 1: SAMPLE RESULTS FUTURE O'REILLY AUTO PARTS (BFR) 23030 NE STATE ROUTE 3 BELFAIR, WASHINGTON ATC PROJECT NUMBER: NPOR180095 Sample Material Description Sample Location(s) Approximate Result% Number Quantity of ACM 1 Wall Texture Staircase N/A ND-Prior 2 Wall Texture Staircase N/A ND-Prior 3 Wall Texture Staircase N/A ND-Prior 4 Painted Grout in CMU Basement N/A ND-Prior Wall 5 Vibration Dampener Basement N/A ND 6 Tape on Furnace Basement N/A ND-Prior 7 Wall Texture NW Office N/A ND-Prior 8 Wall Texture NW Office N/A ND-Prior 9 Wall Texture SE Conference Room N/A ND-Prior 10 Wall Texture SE Conference Room N/A ND-Prior 11 Paint/Joint SE Conference Room N/A ND Compound/Drywall 12 Paint/Joint Reception N/A ND Compound/Drywall 13 Drywall/Joint Compound NW Office N/A <1% Chr sotile 14 Drywall/Joint Compound SW Office N/A `1% Chrysotile 15 Drywall/Joint Compound SE Conference Room N/A <1 � Ch sotile 16 Gray Sink Undercoating Kitchen N/A ND-Prior 17 White Vinyl Sheet Flooring Kitchen N/A ND-Prior 18 White Vinyl Sheet Flooring SE Bathroom N/A ND-Prior 19 White Vinyl Sheet Flooring Reception N/A ND-Prior 20 Carpet Mastic NE Office N/A ND-Prior 21 Carpet Mastic NW Office N/A ND 22 4"x4" Plastic Wall Tile with SE Bathroom N/A ND Yellow Mastic 23 12"x12" Ceiling Tile NW Office N/A ND 24 12"x12" Ceiling Tile NW Office N/A ND 25 12"x12" Ceiling Tile NW Office N/A ND 26 Black Asphalt Shingle Roof N/A ND 27 Black Vapor Barrier Roof N/A ND 28 Mastic Dots under Sign Exterior N/A ND 29 Laminate Counter Top Kitchen N/A ND August 3, 2018 /NTC Page 6 of 6 / ATC Project No. NPOR180095 ENVIRONMENTAL-GEOTECHNICAL BUILDING SCIENCES•MATERIALS TESTING TABLE 1: SAMPLE RESULTS FUTURE O'REILLY AUTO PARTS(BFR) 23030 NE STATE ROUTE 3 BELFAIR, WASHINGTON ATC PROJECT NUMBER: NPOR180095 Sample n /o Approximate o Number Material Description Sample Location(s) s} Quantity of ACM Result 30 Laminate Counter SE Bathroom N/A ND ND-Prior= None Detected (April 1, 2011 ACM Survey) ND = None Detected JC = Joint Compound T =Texture 1 = Chrysotile Asbestos---= Same as Above PS = Not Analyzed Due to Positive Stop SF = Square Feet LF = Linear Feet zs 16 09 Covered 07 17 25 Porch 24 21 18 hn SW Office 14 Kitchen Office 23 „ i 10 SE i 0 Room cep ion Tu SE BathNE Office Office NE 12 Bath ,9 i I 30 22 I li [?dwn to 15 26 Elseement 27 28 O 2 LEGEND , FIGURE 1 PROJECT NO:NPOR180095 01 ti Suspect Bulk Asbestos Sample Location , 6347 Seaview Avenue NW SAMPLE LOCATIONS Seattle,WA 98107 DESIGNED BY:DF NOT TO SCALE First Floor 05 +ACM Asbestos-Containing Material(ACM) ENVIRONMENTAL•GEOTECNNICAL Demolition Asbestos Survey ROILOINR SCIENCES• MATERIALS TESTING DRAWN BY:DC DATE:08/2018 TFILE:FIGURE 1 23030 NE State Route 3 Belfair,WA 98528 01 os 05 rawl Space Furnace (Inaccessible) Chimney Unfinished Basement Area 04 oz 03 LEGEND , FIGURE 1 PROJECT NO NPOR180095 01 ti Suspect Bulk Asbestos Sample Location SAMPLE LOCATIONS Ak 6347 Seaview Avenue NW AV CSeattle,WA 98107 DESIGNED BY:DF NOT TO SCALE Basement 05 +ACM Asbestos-Contain Materiel(ACM ) ENVIRONMENTAL•GEDTECMNICAL Demolition Asbestos Survey BUILDING SCIENCES• MATERIALS TESTING DRAWN BY:DC DATE:08/2018 FILE:FIGURE 1 23030 NE State Route 3 Belfair,WA 98528 'V AVAkJr ANALYTICAL REPORT Prepared for: ATC Group Services 6347 Seaview Ave Northwest Seattle, WA 98107 Project: O'Reilly Order No.. 0026250 Report Date: 08/01/2018 ATC Group Services LLC 8985 E. Nichols Avenue, Suite 350, Centennial, CO 80112 Ph: 303-799-6100 r 1 8985 E.Nichols Avenue,Suite 350 Centennial, CO 80112 AWA kT Phone +1 303 799 6100 . Fax +1 303 799 3441 www.atogroupservices.com PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 101536 Cody Bishop ATC Job No.: TBD ATC Group Services Batch No.: 0026250 6347 Seaview Ave Northwest Report Date: 08/01/2018 Seattle WA 98107 Sample Date: 07/24/2018 Project: O'Reilly Date Analyzed: 08/01/2018 Customer Project No.: Identification: N/A Test Method: 600/R-93/116 Page 1 of 5 Client No. Lab No. Sample Description/Location Asbestos Content 1 0026250-001 Wall Texture Over Plywood,Tan Note: *Not analyzed per client request Staircase 2 0026250-002 Wall Texture Over Plywood,Tan Note: *Not analyzed per client request Staircase 3 0026250-003 Wall Texture Over Plywood,Tan Note: *Not analyzed per client request Staircase 4 0026250-004 Painted Grout in CMU Wall,White Note: *Not analyzed per client request Basement 5 0026250-005 Vibration Dampner on Furnace,Black,23°C None Detected Basement 6 0026250-006 Tape on Furnace,Black,23°C Note: *Not analyzed per client request Basement 7 0026250-007 Wall Texture Over Drywall,Tan,23*C Note: *Not analyzed per client request NW Office 8 0026250-008 Wall Texture Over Drywall,Tan,23*C Note: *Not analyzed per client request NW Office These samples were analyzed by layers.Specific layer or component asbestos content is indicated when relevant.The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation(CVAE).EPA regulations also indicate that Regulated Asbestos Containing Materials(RACM)—materials which are friable or may become friable—be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE.Our laboratory utilizes CVAE on a routine basis and does not indude point counting unless specifically requested. The results may not be reproduced except in full,and should not be used as a scope of work for abatement without consulting with ATC. 8985 E.Nichols Avenue,Suite 350 . Centennial, CO 80112 kTC Phone +1 303 799 6100 Fax +1 303 799 3441 www.atcgroupservices.com PLM REPORT SUMMARY NVLA L Lab Code 102031 Customer: AIHA Lab Code 10153636 Cody Bishop ATC Job No.: TBD ATC Group Services Batch No.: 0026250 6347 Seaview Ave Northwest Report Date: 08/01/2018 Seattle WA 98107 Sample Date: 07/24/2018 Project: O'Reilly Date Analyzed: 08/01/2018 Customer Project No.: Identification: N/A Test Method: 600/R-93/116 Page 2 of 5 Client No. Lab No. Sample Description/Location Asbestos Content 9 0026250-009 Wall Texture Over Drywall,Tan,23°C Note: 'Not analyzed per client request SE Conference Room 10 0026250-010 Wall Texture Over Drywall,Tan,23°C Note: 'Not analyzed per client request SE Conference Room 11 0026250-011 LAYER 1 None Detected Paint/Joint Compound,Beige/White,23°C SE Conference Room 11 0026250-011 LAYER 2 None Detected Drywall,Brown/Lt.Gray,23°C SE Conference Room 12 0026250-012 LAYER 1 None Detected Paint/Joint Compound,Beige/White,23°C Reception 12 0026250-012 LAYER 2 None Detected Drywall,Brown/Lt.Gray,23°C Reception 13 0026250-013 Drywall and Joint Compound,Beige/White/Lt.Gray Note: 'Not analyzed per client request NW Office 14 0026250-014 Drywall and Joint Compound,Beige/White/Lt.Gray Note: 'Not analyzed per client request SW Office These samples were analyzed by layers.Specific layer or component asbestos content is indicated when relevant.The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation(CVAE).EPA regulations also indicate that Regulated Asbestos Containing Materials(RACM)—materials which are friable or may become friable—be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE.Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full,and should not be used as a scope of work for abatement without consulting with ATC. I r 8985 E.Nichols Avenue,Suite 350 Centennial, CO 80112 AwAtTc Phone +1 303 799 6100 Fax +1 303 799 3441 Awr www.atcgroupservices.com PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 101536 Cody Bishop ATC Job No.: TBD ATC Group Services Batch No.: 0026250 6347 Seaview Ave Northwest Report Date: 08/01/2018 Seattle WA 98107 Sample Date: 07/24/2018 Project: O'Reilly Date Analyzed: 08/01/2018 Customer Project No.: Identification: N/A Test Method: 600/R-93/116 Page 3 of 5 Client No. Lab No. Sample Description/Location Asbestos Content 15 0026250-015 Drywall and Joint Compound,Beige/White/Lt.Gray Note: 'Not analyzed per client request SE Conference Room 16 0026250-016 Sink Undercoating,Gray Note: 'Not analyzed per client request Kitchen 17 0026250-017 Vinyl Sheet Floor Over Plywood,Cream Note: 'Not analyzed per client request Kitchen 18 0026250-018 Vinyl Sheet Flooring,White Note: 'Not analyzed per client request SE Bathroom 19 0026250-019 Vinyl Sheet Floor Under Brown Dot Carpet,Cream Note: 'Not analyzed per client request Reception 20 0026250-020 Floor Mastic Under Brown Dot Carpet,Yellow Note: 'Not analyzed per client request NE Office 21 0026250-021 Floor Mastic Under Gray Carpet,Blue,23°C None Detected NW Office 22 0026250-022 LAYER 1 None Detected 4"x4"Plastic Wall Tile,Off White,23°C SE Bathroom These samples were analyzed by layers.Specific layer or component asbestos content is indicated when relevant.The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation(CVAE).EPA regulations also indicate that Regulated Asbestos Containing Materials(RACM)—materials which are friable or may become friable—be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE.Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full,and should not be used as a scope of work for abatement without consulting with ATC. . 8985 E.Nichols Avenue,Suite 350 Centennial, CO 80112 Phone +1 303 799 6100 . Fax +1 303 799 3441 TC www.atcgroupservices.com FILM REPORT SUMMARY L NVLA Lab Code 102031 Customer: AIHA Lab Code 1015361536 Cody Bishop ATC Job No.: TBD ATC Group Services Batch No.: 0026250 6347 Seaview Ave Northwest Report Date: 08/01/2018 Seattle WA 98107 Sample Date: 07/24/2018 Project: O'Reilly Date Analyzed: 08/01/2018 Customer Project No.: Identification: N/A Test Method: 600/R-93/116 Page 4 of 5 Client No. Lab No. Sample Description /Location Asbestos Content 22 0026250-022 LAYER 2 None Detected Mastic,Yellow,23°C SE Bathroom 23 0026250-023 Paint/12"x12"Ceiling Tile,White/Brown,23°C None Detected NW Office 24 0026250-024 Paint/12"x12"Ceiling Tile,White/Brown,23°C None Detected NW Office 25 0026250-025 LAYER 1 None Detected PainU12"x12"Ceiling Tile,White/Brown,23°C NW Office 25 0026250-025 LAYER 2 None Detected Mastic,Brown,23°C NW Office 26 0026250-026 Asphalt Shingle, Black,23°C None Detected Roof 27 0026250-027 Vapor Barrier,Black,23°C None Detected Roof 28 0026250-028 Mastic Dots Under Signage,White,23°C None Detected Exterior 29 0026250-029 Laminate Counter Top,Beige,23°C None Detected Kitchen These samples were analyzed by layers.Specific layer or component asbestos content is indicated when relevant.The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation(CVAE).EPA regulations also indicate that Regulated Asbestos Containing Materials(RACM)--materials which are friable or may become friable—be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE.Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full,and should not be used as a scope of work for abatement without consulting with ATC. 8985 E.Nichols Avenue,Suite 350 19 Centennial, CO 80112 NA Phone +1 303 799 6100 sr ITC Fax +1 303 799 3441 www.atcgroupservices.com PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: ANA Lab Code 101536 Cody Bishop ATC Job No.: TBD ATC Group Services Batch No.: 0026250 6347 Seaview Ave Northwest Report Date: 08/01/2018 Seattle WA 98107 Sample Date: 07/24/2018 Project: O'Reilly Date Analyzed: 08/01/2018 Customer Project No.: Identification: N/A Test Method: 600/R-93/116 Page 5 of 5 Client No. Lab No. Sample Description/Location Asbestos Content 30 0026250-030 Laminate Counter Top,Gray,23°C None Detected SE Bathroom These samples were analyzed by layers.Specific layer or component asbestos content is indicated when relevant.The EPA considers a material to be asbestos containing only if it contains more than one percent asbestos by Calibrated Visual Area Estimation(CVAE).EPA regulations also indicate that Regulated Asbestos Containing Materials(RACM)—materials which are friable or may become friable—be further analyzed by point counting when the results indicate less than ten percent asbestos by CVAE.Our laboratory utilizes CVAE on a routine basis and does not include point counting unless specifically requested. The results may not be reproduced except in full,and should not be used as a scope of work for abatement without consulting with ATC. 8985 E.Nichols Avenue,Suite 350 Centennial, CO 80112 AWI*TC Phone +1 303 799 6100 Fax +1 303 799 3441 Affr www.atcgroupservices.com PLM REPORT SUMMARY NVLAP Lab Code 102031 Customer: AIHA Lab Code 1015361536 Cody Bishop ATC Job No.: TBD ATC Group Services Batch No.: 0026250 6347 Seaview Ave Northwest Report Date: 08/01/2018 Seattle WA 98107 Sample Date: 07/24/2018 Project: O'Reilly Date Analyzed: 08/01/2018 Customer Project No.: Identification: N/A Test Method: 600/R-93/116 Page 1 of 1 PLM Analysis Methodology PLM samples were analyzed utilizing the Environmental Protection Agency's Test Method: Method for the Determination of Asbestos in Building Materials(EPA 600/R-93/116.July, 1993)40 CFR, Part 763,Appendix E to Subpart E. Reporting Limit<1%Asbestos. Additional treatment and tests may be required to accurately define composition(i.e. ashing, extractions, acetone treatment, and TEM). Unused portions of samples are archived for one year unless client requests special handling. Asbestos content of masticladhesive is separated from total percent asbestos and other materials. Laboratory Equipment Laboratory analysis was accomplished utilizing an Olympus BH-2 polarized light microscope.The microscope is equipped with dispersion staining lenses. Quality Control ATC Group Services is accredited by NVLAP Bulk Asbestos Sample Quality Assurance Program(Lab Code 102031). ATC participates in the NVLAP Bulk Asbestos Sample Quality Assurance Program and maintains an in-house QC/QA program for bulk samples whereby 10%of all submitted samples are reanalyzed and documented in a Quality Control Manual. ATC also participates in a quarterly round robin QC/QA program for bulk samples with several accredited laboratories throughout the United States. Current and past QC/QA program results are available in the laboratory for inspection. Laboratory Personnel Approved Signatory McKen Wenger NVLAP LAB CODE 102031-0 I The non-detection of asbestos fibers in floor tile by PLM is of itself inconclusive. Confirmation by Transmission Electron Microscope(TEM)is recommended for negative floor tile samples. This report must not be used by the client to claim product endorsements by NVLAP or an agency of the U.S. government. This test reports only to the items stated. r BATCH NO. 0026250 tTc. NVLAP Lab Code 102031 AIHA Lab Code 101536 Cody Bishop Customer Project No.: ATC Group Services Description: O'Reilly 6347 Seaview Ave Northwest Date Received: 07/25/2018 Seattle WA 98107 Date Analyzed: 08/01/2018 Collected: 07/24/2018 Date Reported: 08/01/2018 Collected By: Cody Bishop Comments: Collection Address: Belfair, Washington Asbestos Non-Asbestos Lab ID Sample Location / Constituents Constituents Sample# Sample Description M M 0026250-001 Staircase 1 Wall Texture Over Plywood,Tan Note: 'Not analyzed per client request 0026250-002 Staircase 2 Wall Texture Over Plywood,Tan Note: 'Not analyzed per client request 0026250-003 Staircase 3 Wall Texture Over Plywood,Tan Note: "Not analyzed per client request 0026250-004 Basement 4 Painted Grout in CMU Wall,White Note: 'Not analyzed per client request 0026250-005 Basement None Detected Cellulose Fiber(Incom) 2% Synthetic Fiber(Bie) 30% 5 Vibration Dampner on Furnace,Black, Aggregate 15% 23°C Carbonates 25% Binder/Filler 28% 0026250-006 Basement 6 Tape on Furnace,Black,23°C Note: 'Not analyzed per client request 0026250-007 NW Office 7 Wall Texture Over Drywall,Tan,23°C Note: 'Not analyzed per client request 0026250-008 NW Office 8 Wall Texture Over Drywall,Tan,23°C Note: 'Not analyzed per client request f Analyzed by: } �t�� Reviewed by: Page 1 of 5 BATCH NO. 0026250 WF kTc NVLAP Lab Code 102031 AIHA Lab Code 101536 Cody Bishop Customer Project No.: ATC Group Services Description: O'Reilly 6347 Seaview Ave Northwest Date Received: 07/25/2018 Seattle WA 98107 Date Analyzed: 08/01/2018 Collected: 07/24/2018 Date Reported: 08/01/2018 Collected By: Cody Bishop Comments: Collection Address: Belfair, Washington Asbestos Non-Asbestos Lab ID Sample Location/ Constituents Constituents Sample# Sample Description M M 0026250-009 SE Conference Room 9 Wall Texture Over Drywall,Tan,23°C Note: 'Not analyzed per client request 0026250-010 SE Conference Room 10 Wall Texture Over Drywall,Tan,23°C Note: `Not analyzed per client request 0026250-011 SE Conference Room None Detected Cellulose Fiber(Incom) <1% 11 LAYER 1 Aggregate 3% Paint/Joint Compound,Beige/White,23°C Carbonates 65% Binder/Filler 32% None Detected Cellulose Fiber(Incom) 25% Fibrous Glass(ISO) <1 LAYER 2 Gypsum 75% Drywall,Brown/Lt.Gray,23°C 0026250-012 Reception None Detected Cellulose Fiber(Incom) <1% 12 LAYER 1 Aggregate 3% Paint/Joint Compound,Beige/White,23°C Carbonates 65% Binder/Filler 32% None Detected Cellulose Fiber(Incom) 25% Fibrous Glass(ISO) <1 LAYER 2 Gypsum 75% Drywall,Brown/Lt.Gray,23°C 00262 50-0 1 3 NW Office Cellulose Fiber(Incom) <1% 13 Drywall and Joint Compound, Aggregate 3% Beige/White/Lt.Gray Carbonates 65% Note: 'Not analyzed per client request Binder/Filler 32% 0026250-014 SW Office Cellulose Fiber(Incom) <1% 14 Drywall and Joint Compound, Aggregate 3% Beige/White/Lt.Gray Carbonates 65% Note: 'Not analyzed per client request Binder/Filler 32% Analyzed by: �JWt j Reviewed by: Page 2 of 5 BATCH NO. fl TC 0026250 . NVLAP Lab Code 102031 AIHA Lab Code 101536 Cody Bishop Customer Project No.: ATC Group Services Description: O'Reilly 6347 Seaview Ave Northwest Date Received: 07/25/2018 Seattle WA 98107 Date Analyzed: 08/01/2018 Collected: 07/24/2018 Date Reported: 08/01/2018 Collected By: Cody Bishop Comments: Collection Address: Belfair, Washington Asbestos Non-Asbestos Lab ID Sample Location / Constituents Constituents Sample# Sample Description M M 0026250-015 SE Conference Room Cellulose Fiber(Incom) <1% 15 Drywall and Joint Compound, Aggregate 3% Beige/1Nhite/Lt.Gray Carbonates 65% Note: *Not analyzed per client request Binder/Filler 32% 0026250-016 Kitchen 16 Sink Undercoating,Gray Note: *Not analyzed per client request 0026250-017 Kitchen 17 Vinyl Sheet Floor Over Plywood,Cream Note: *Not analyzed per client request 0026250-018 SE Bathroom 18 Vinyl Sheet Flooring,White Note: *Not analyzed per client request 0026250-019 Reception 19 Vinyl Sheet Floor Under Brown Dot Carpet,Cream Note: *Not analyzed per client request 0026250-020 NE Office 20 Floor Mastic Under Brown Dot Carpet, Yellow Note: *Not analyzed per client request 0026250-021 NW Office None Detected Cellulose Fiber(Incom) 10% 21 Floor Mastic Under Gray Carpet,Blue, Carbonates 35% 23°C Aggregate 10% Binder/Filler 45% 1 ► Analyzed by: Reviewed by: Page 3 of 5 i . BATCH NO. NAkT 0026250 Aff NVLAP Lab Code 102031 AIHA Lab Code 101536 Cody Bishop Customer Project No.: ATC Group Services Description: O'Reilly 6347 Seaview Ave Northwest Date Received: 07/25/2018 Seattle WA 98107 Date Analyzed: 08/01/2018 Collected: 07/24/2018 Date Reported: 08/01/2018 Collected By: Cody Bishop Comments: Collection Address: Belfair, Washington Asbestos Non-Asbestos Lab ID Sample Location/ Constituents Constituents Sample# Sample Description N 0026250-022 SE Bathroom None Detected Cellulose Fiber(Incom) <1% 22 LAYER 1 Non-Fibrous Material 100% 4"x4"Plastic Wall Tile,Off White,23°C None Detected Cellulose Fiber(Incom) 2% LAYER 2 Aggregate 3% Mastic,Yellow,23°C Carbonates 5% Binder/Filler 90% 0026250-023 NW Office None Detected Cellulose Fiber(Incom) 65% 23 Paint/12"x12"Ceiling Tile,White/Brown, Binder/Filler 35% 23°C 0026250-024 NW Office None Detected Cellulose Fiber(Incom) 65% 24 Paint/12"x12"Ceiling Tile,White/Brown, Binder/Filler 35% 23°C 0026250-025 NW Office None Detected Cellulose Fiber(Incom) 65% 25 LAYER 1 Binder/Filler 35% Paint/12"x12"Ceiling Tile,White/Brown, 23°C None Detected Cellulose Fiber(Incom) 5% LAYER 2 Aggregate 15% Mastic,Brown,23°C Binder/Filler 80% 0026250-026 Roof None Detected Fibrous Glass(ISO) 10% Cellulose Fiber(Incom) 3% 26 Asphalt Shingle,Black,23°C Tar Binder 35% Carbonates 40% Binder/Filler 12% 0026250-027 Roof None Detected Cellulose Fiber(Incom) 45% 27 Vapor Barrier,Black,23°C Tar Binder 35% Binder/Filler 20% Analyzed by: Reviewed by: Page 4 of 5 BATCH NO. Awl 0026250 ffF *TC NVLAP Lab Code 102031 AIHA Lab Code 101536 Cody Bishop Customer Project No.: ATC Group Services Description: O'Reilly 6347 Seaview Ave Northwest Date Received: 07/25/2018 Seattle WA 98107 Date Analyzed: 08/01/2018 Collected: 07/24/2018 Date Reported: 08/01/2018 Collected By: Cody Bishop Comments: Collection Address: Belfair, Washington Asbestos Non-Asbestos Lab ID Sample Location / Constituents Constituents Sample# Sample Description N N 0026250-028 Exterior None Detected Cellulose Fiber(Incom) <1% 28 Mastic Dots Under Signage,White,23°C Aggregate 10% Non-Fibrous Material 90% 0026250-029 Kitchen None Detected Cellulose Fiber(Incom) 85% 29 Laminate Counter Top,Beige,23°C Binder/Filler 15% 0026250-030 SE Bathroom None Detected Cellulose Fiber(Incom) 85% 30 Laminate Counter Top,Gray,23°C Binder/Filler 15% Analyzed by: �, �� Reviewed by: Page 5 of 5 I 8985 East Nichols Avenue,Suite 350 ._T_ Centennial,Colorado 80112 TEL: 303.799.6100 •� (� FAX: 303.799.3441 ENVIRONMENTAL• CEOTECHNICAL BUILDING SCIENCES- MATERIALS TESTING i PROJECT INFORMATION Turnaround: 2 hour 24 hour 3-5 day_ j Company/Customer:ATC—Seattle Project Name:O"Reill —Belfair,WA Address:6347 Seaview Avenue Northwest Collection Date:7/24/18 Address:Seattle,Washington 98107 Customer Number/P.O.: Phone/Fax: Collection Address:Belfair, WA Customer Contact: Special Instructions: ZL005 Email:codv.bishon a()atcassociates.com Sample Number Sample Material Sample Location 1 See attached logs 2 3 4 . . 5 6 7 8 /7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Note: Sample collector is responsible for ensuring that all samples have been preserved and prepared to the appropriate and applicable methodology.If package has sustained damage during transit,notify collector and shipper.Turnaround time begins upon receipt of sample(s)by laboratory.A"rC will not be responsible for errors or omissions in calculations from inaccuracy of original data. CHAIN OF CUSTODY Relin ished By: Date: Time: Received By: D te: Time: Zr I t PROJECT O'Reilly Auto ADDRESS Belfair,Washington PAGE 1 OF BULK SAMPLE IF PROD.NO. PHASE NO.m DATE: 7 / Tkc CLIENT: O'Reilly AREA AREA NAME/DESCRIPTION AREA AREA NAME/DESCRIPTION 6347 SeavieW Ave NW Seattle,WA 98107 PROJECT: ACM Survey � t{'7� C Ph: (206)781-1449 � S ' `-"i EVALTR: C.Bishop UNIT CODES LF LINEAR FEET SF SQUARE FEET EA EACH SAMPLE# BLDG./FLOOR AREA U AREA SE MTRL MATERIAL ESTIMATED CODE DESCRIPTION QUANTITY ........... ................................. .I &. b 2 _............................................................................................... ...... �- 1) 31 1 ......................................._................................................ 2- I U4 U � .... ................... b 65 b 21 - ......... .:k p. , .................... 7 ...........U! .... Fv,.�_ v J ,:,-�. ....................o................................................. ... a z 1 l 1l ............................................................................................. . 9 b ....................................................................................................................... ti 1 L t a- 01 BOILER INSULATION 02 BOILER LAGGING MATERIAL CODES(SEE BELOW) AREA USAGE 03 BREECHING INSULATION CODES v 04 BREECHING LAGGING 24 ACOUSTIC SPRAY-ON MAT'L 43 ROOFING COMPOSITE 1 VOIDICHASE/ 3 STORAGE CONDITION AIR EROSION VIBRATION WATER 05 CHILLER INSULATION 25 ACOUSTIC PANEL (ROOF CUT) CAVITY 4 OCCASIONAL CODES CODES CODES CODES 06 CHILLER LAGGING 26 ACOUSTIC PANEL(2'X2') 44 ROOFING CAP SHEET 2 MECHANICAL S CONTINUOUS 1 GOOD 1 LOW 1 LOW 1 LOW 07 STORAGE TANK INSUL 27 ACOUSTIC PANEL(2'X4') 45 ROOFING SHINGLE 2 DAMAGED 2 MODERATE 2 MODERATE 2 MODERATE 08 STORAGE TANK LAGGING 28 ACOUSTIC TILE(12'X12') 46 ROOFING FLASHING 3 SIGNIFICANTLY 3 HIGH 3 HIGH 3 HIGH 09 PUMP HOUSING INSULATION 29 ACOUSTIC TILE(1'X2') 47 ROOFING FELT DAMAGED 10 PUMP HOUSING LAGGING 30 ACOUSTIC TILE MASTIC 48 ROOFING MASTIC FRIABILITY CONTACT 11 GASKETRY 31 FLOOR TILE(9"X9") 49 THERMAL INSULATION p CODES CODES 12 FUEL INSULATION 32 FLOOR TILE(12"X12") 50 HEAT SHIELD $ ENEITRATION E FRIABLE 1 LOW 2 MODERATE NON-FRIABLE 13 TRANSITE PIPE 33 FLOOR TILE MASTIC 51 TRANSITE SHEET MATL I 3 HIGH 14 PIPE FITTING INSULATION 34 RESILIENT SHEET FLOORING 52 MORTAR/GROUT 61 CARPET MASTIC 15 PIPE FITTING LAGGING 36 SHEET FLOORING MASTIC 53 SINK UNDERCOAT MATERIAL 62 OTHER(DESCRIBE) 16 PIPE RUN INSULATION 36 BASEBOARD 54 POWER LEAD INSULATION 17 PIPE RUN LAGGING 37 BASEBOARD MASTIC 55 WALL PAPER 18 PL7STER BROWN/SCRATCH 38 FIREPROOFING-SPRAY-ON 56 FABRIC/ROPE 19 PLASTER FINISH COAT 39 HVAC FLEXIBLE CONNECTOR 57 WOOD FLOOR MASTIC 20 PLASTER COMPOSITE 40 DUCT INSULATION 58 FIRE-RATED/INSULATED 21 WALLBOARD 41 DUCT INSULATION LAGGING DOOR CORE 22 JOINT COMPOUND 42 DUCT SEAM TAPE �Z DA[NT/f:ftATiN(: PROJECT O'Reilly Auto ADDRESS Belfair,Washington PAGE Z_ OF BULK SAMPLE _ ---- Iff �j IffAkTc PROD.NO, PHASE NO. m DATE: 1 Z CLIENT; O'Reilly AREA AREA NAMEIDESCRIPTION AREA AREA NAMEIDESCRIPTION 6347 Seaview Ave NW Seattle,WA 98107 PROJECT: ACM Survey e��-cxw ? � U .� /,�� Ph: (206) 781-1449 EVALTR: C. Bishop � � 5 UNIT tc.^- CODES LF LINEAR FEET lJ L SF SQUARE FEET EA EACH 0 4- SAMPLE# BLDG.IFLOOR AREA SSA AE TRL MATERIAL ESTIMATED CODE DESCRIPTION QUANTITY Pry ........ -....... . . ...................................... 1 b .:.................. 2 ......................................................................................................................................... v 2 1 2 , 1 ,01 a..,. 1 3 v ........................................ ....................................................................... ► + ,'- I J 4- q ....... ....................._................_..............._....................................................................... / b / lc-_ 51 1v ......................_..........................................._........................ --t, kg U sy.�ti,,.h,...........vl, ............ �1. -..._ �y..._........... i Y � �1S 2 0 ��•,- .........�1au.r..........�4Ajz c—......... ....................... 01 BOILER INSULATION Fr 02 BOILER LAGGING MATERIAL CODES(SEE BELOW) AREA USAGE 03 BREECHING INSULATION CODES 04 BREECHNG LAGGING 24 ACOUSTIC SPRAY-ON MAT'L 43 ROOFING COMPOSITE 1 VOIDICHASE/ 3 STORAGE CONDITION AIR EROSION VIBRATION WA7ER 05 CHILLER INSULATION 25 ACOUSTIC PANEL (ROOF CUT) CAVITY 4 OCCASIONAL CODES CODES CODES CODES 06 CHLLER LAGGING 26 ACOUSTIC PANEL(2'X2') 44 ROOFING CAP SHEET 2 MECHANICAL 6 CONTINUOUS 1 GOOD 1 LOW 1 LOW 1 LOW 07 STORAGE TANK INSUL 27 ACOUSTIC PANEL(2'X4') 45 ROOFING SHINGLE 2 DAMAGED 2 MODERATE 2 MODERATE 2 MODERATE 08 STORAGE TANK LAGGING 28 ACOUSTIC TILE(12'X12') 46 ROOFING FLASHING 3 SIGNIFICANTLY 3 HIGH 3 HIGH 3 HIGH 09 PUMP HOUSING INSULATION DAMAGED 29 ACOUSTIC TILE(1'X2') 47 ROOFING FELT 10 PUMP HOUSING LAGGING 30 ACOUSTIC TILE MASTIC 48 ROOFING MASTIC FRIABILITY CONTACT 11 GASKETRY 31 FLOOR TILE(9"X9") 49 THERMAL INSULATION CODES CODES 12 FUEL INSULATION 32 FLOOR TILE(12"X12") 50 HEAT SHIELD �j 1 NON-FRIABLE 1 LOW 13 TRANSI7E PIPE 33 FLOOR TILE MASTIC 51 TRANSITE SHEET MAT'L S8�A ��ABN 2 FRIABLE 2 MODERATE 14 PIPE FITTING INSULATION 61 CARPET MASTIC 3 HIGH 34 RESILIENT SHEET FLOORING 52 MORTARIGROUT 620THER 15 PIPE FITTING LAGGING 35 SHEET FLOORING MASTIC 53 SINK UNDERCOAT MATERIAL (DESCRIBE) 16 PPE RUN INSULATION 36 BASEBOARD 54 POWER LEAD INSULATION 17 PIPE RUN LAGGING 37 BASEBOARD MASTIC 55 WALL PAPER 18 PLASTER PLASTER BROWN/SCRATCH/SCRATCH 38 FIREPROOFING-SPRAY-ON 56 FABR(C/ROPE 19 PLASTER FINISH COAT 39 HVAC FLEXIBLE CONNECTOR 57 WOOD FLOOR MASTIC 20 PLASTER COMPOSITE 40 DUCT INSULATION 58 FIRE-RATEDIINSULATED 21 WALLBOARD 41 DUCT INSULATION LAGGING DOOR CORE 22 JOINT COMPOUND 42 DUCT SEAM TAPE oz cnlNnrnnnur_ PROJECT O'Reilly Auto ADDRESS PAGE OF Beifair,Washington BULK SAMPLE PROD.NO. PHASE NO. DATE: ( ' wAwl*TC CLIENT: O'Reilly AREA AREA NAME/DESCRIPTION AREA AREA NAMEIDESCRIPTION 6347 Seaview Ave NW Seattle,WA 98107 (� PROJECT: ACM Survey v ��'J Ph: (206 781-1449 / Vi EVALTR: C.Bishop UNIT OD S LF LINEAR FEET SF SQUARE FEET ♦�� EA EACH SAMPLE# BLDG.1FLOOR AREA i35,��AGE TRL MATERIAL ESTIMATED CODE DESCRIPTION QUANTITY ..�.�.- ......._+4.(aD.r......... fn..4........... . ........................ b L 31 0 .... . ..... ............ 5 5 I 1 1 1 Z 41 ................................................_............................................................................ Z ( l l L._ _........ro ....................... ..�..................,.....,. g .............. .SPh...... ....... .......................................................... Z o 5r ( I I I Z 81 w........ ._ .......e±. fi ..............a .......�. ...._........... l s �3.. ..... .� ................_............._......,...... P............ 3 5 l � 7 01 BOILER INSULATION 02 BOILER LAGGING MATERIAL CODES(SEE BELOW) AREA USAGE 03 BREECHING INSULATION CODE 04 BREECHING LAGGING 24 ACOUSTIC SPRAY-ON MAIL 43 ROOFING COMPOSITE 1 VOIDlCHASEI 3 STORAGE CONDITION AIR EROSION VIBRATION WATER 05 CHILLER INSULATION 25 ACOUSTIC PANEL (ROOF CUT) CAVITY 4 OCCASIONAL CODES CODES CODES CODES 06 CHILLER LAGGING 26 ACOUSTIC PANEL(2'X2') 44 ROOFING CAP SHEET 2 MECHANICAL 6 CONTINUOUS 1 GOOD 1 LOW 1 LOW 1 LOW 07 STORAGE TANK INSUL 27 ACOUSTIC PANEL(2'X4') 45 ROOFING SHINGLE 2 DAMAGED 2 MODERATE 2 MODERATE 2 MODERATE 08 STORAGE TANK LAGGING 28 ACOUSTIC TILE(12'X12') 46 ROOFING FLASHING 3 SIGNIFICANTLY 3 HIGH 3 HIGH 3 HIGH 09 PUMP HOUSING INSULATION 29 ACOUSTIC TILE(1'X2') 47 ROOFING FELT DAMAGED 10 PUMP HOUSING LAGGING 30 ACOUSTIC TILE MASTIC 48 ROOFING MASTIC FRIABILITY CONTACT 11 GASKETRY 31 FLOOR TILE(9"X9") 49 THERMAL INSULATION SSg g�11CCO CODES CODES 12 FUEL INSULATION 32 FLOOR TILE(12"X12") 50 HEAT SHIELD 60 �ETRATION 2 NON-FRIABLE I LOW 2 MODERATE 13 TRANSITE PIPE 33 FLOOR TILE MASTIC 51 TRANSITE SHEET MAT'L 3 HIGH 14 PIPE FRYING INSULATIOU 34 RESILIENT SHEET FLOORING 52 MORTARIGROUT 61 CARPET MASTIC 15 PIPE FITTING LAGGING 35 SHEET FLOORING MASTIC 53 SINK UNDERCOAT MATERIAL 62 OTHER(DESCRIBE) 16 PIPE RUN INSULATION 36 BASEBOARD 54 POWER LEAD INSULATION 17 PIPE RUN LAGGING 37 BASEBOARD MASTIC 55 WALL PAPER 18 PLASTER BROWWSCRATCH 38 FIREPROOFING-SPRAY-ON 56 FABRICIROPE 19 PLASTER FINISH COAT 39 HVAC FLEXIBLE CONNECTOR 67 WOOD FLOOR MASTIC 20 PLASTER COMPOSITE 40 DUCT INSULATION 58 FIRE-RATED/INSULATED 21 WALLBOARD 41 DUCT INSULATION LAGGING DOOR CORE 22 JOINT COMPOUND 42 DUCT SEAM TAPE �7 PAINT1rnATIWr Certtftfcate of C This is to certify that John C . Bishop has satisfactorily completed 4 hours of refresher training as an AHERA Building Inspector to comply with the training requirements of TSCA Title II, 40 CFR 763 (AHERA) 165296 Certificate Number D Jan 31, 2018 Expires in 1 year n Date(s) of Training W AV /U TRAINING•CONSULTING fl 1 Exam Score: NA A lferramn COMPANY If appropriate: Instructor ARGUS PACIFIC,INC/ 1900 WEST NICKERSON ST,SUITE 315/SEATTLE,WASHINGTON 98119/206.285.3373/ARGUSPACIFIC.COM CV ASSOCIATES INC . DEMOLITION ASBESTOS SURVEY OF PROPOSED O'REILLY AUTOMOTIVE PROPERTY (BFR) 23030 NORTHEAST STATE ROUTE 3 BELFAIR, MASON COUNTY, WASHINGTON 98528 ATC PROJECT NO. 10.75356.0196 APRIL 13, 2011 Prepared by: Prepared for: ATC Associates Inc. Ms. Cheryl Green 6347 Seaview Avenue NW O'Reilly Automotive Stores, Inc. Seattle, Washington 98107 233 South Patterson Phone: (206) 781-1449 Springfield, Missouri 65802 Fax: (206) 781-1543 6347 Seaview Avenue NW Seattle, Washington 98107 www.atcassoci ates.com Ph. 206-781-1449 CYATCFax 206-781-1543 ASSOCIATES INC. Ms. Cheryl Green April 13, 2011 O'Reilly Automotive Stores, Inc. 233 South Patterson Springfield, Missouri 65802 Re: Demolition Asbestos Survey Report Proposed O'Reilly Automotive Property 23030 Northeast State Route 3 Belfair, Washington 98528 ATC Project No. 10.75356.0196 Dear Ms. Green: In accordance with the ATC Associates Inc. (ATC) proposal, dated February 17, 2011, ATC has completed the demolition asbestos survey within the above-referenced property. This report includes the procedures and methodologies utilized, analytical laboratory results,and applicable conclusions and recommendations. During this inspection, ATC identified the wallboard and joint compound system to contain trace(less than one-percent)asbestos at the referenced property. Based on the intended demotion of the building, it is understood that the trace asbestos-containing wall system will be disturbed. The Washington State Department of Labor and Industries (L&I) regulates these materials when they are impacted. Until a negative exposure assessment is performed during the removal of the trace asbestos materials, the contractor will have to follow procedures set forth by L&I under Washington Administrative Codes (WAC) and the Washington Industrial Safety and Health Act (WISHA) Regional Directive (WRD) 23.30, including worker protection methods and the use of engineering controls. Additionally, ATC was unable to collect samples of the asphaltic shingle roofing, ceramic tile with associated mastic and grout in the bathroom, laminate kitchen countertop with mastic, black fabric flex connector on the basement furnace and mastic dots beneath 12-inch ceiling tiles at the property. Suspect ACMs that were not collected during our survey are presumed asbestos-containing material (PACM). The scheduled demolition project will impact these materials, which will require further sampling,abatement and/or special removal techniques,prior to disturbance. ATC appreciates the opportunity to perform these services for O'Reilly Automotive Stores, Inc. and we look forward to working with you in the future. In the meantime if you have questions or comments regarding the information in this report or if we can be of further assistance, please do not hesitate to contact the ATC Seattle office at 206-781-1449. Sincerely, ATC Associates Inc. Atr � * W 4k Hillary Williams Martin H.Cohen Project Manager Project Scientist DEMOLITION ASBESTOS SURVEY REPORT Proposed O'Reilly Automotive Property(BFR) 23030 Northeast State Route 3 Belfair,Washington ATC Project No. 10.75356.0196 TABLE OF CONTENTS LETTEROF TRANSMITTAL...........................................................................................................i 1.0 PURPOSE AND SCOPE OF SERVICES...................................................................................1 2.0 GENERAL SITE CONDITIONS.................................................................................................2 3.0 REPRESENTATIVE ASBESTOS-CONTAINING MATERIAL SURVEY..........................3 3.1 Homogeneous Areas..............................................................................................................4 3.2 Hazard Assessment Factors...................................................................................................4 3.3 Sampling Strategy..................................................................................................................5 3.4 Suspect Asbestos-Containing Material...................................................................................6 3.5 Laboratory Analytical Results................................................................................................8 4.0 RECOMMENDATIONS............................................................................................................10 5.0 ASSUMPTIONS AND LIMITATIONS....................................................................................13 APPENDICES APPENDIX A:LABORATORY ANALYTICAL RESULTS APPENDIX B:INSPECTOR AND LABORATORY ACCREDITATIONS APPENDIX C:SAMPLE LOCATION FIGURES PRE-DEMOLITION ASBESTOS SURVEY REPORT Proposed O'Reilly Automotive Property(BFR) 23030 Northeast State Route 3 Belfair, Washington 98528 1.0 PURPOSE AND SCOPE OF SERVICES The purpose of this project was to conduct a pre-demolition asbestos survey of the structure located at 23030 Northeast State Route 3, Belfair, Mason County, Washington. The survey was conducted in accordance with ATC Associates Inc.'s (ATC's) written proposal, dated February 17, 2011. ATC provided the services in accordance with the referenced agreement,and as outlined below: Conduct a representative asbestos survey in the identified building, which includes the following: 1. Survey the structure on the designated parcel. 2. Identify accessible suspect asbestos-containing materials(ACMs). 3. Collect and analyze bulk samples of suspect ACMs with regards to applicable federal and Washington regulations pertaining to asbestos and the demolition/renovation of structures. 4. Quantify ACMs, including material condition and location for the purposes of abatement prior to demolition/renovation. Demolition Asbestos Survey Page No 2 23030 NE State Route 3, Belfair, «ashington 2.0 GENERAL SITE CONDITIONS The location of the property is a generally commercial and residential area in Belfair, Washington. The property consists of one building, which was unoccupied during our site visit and was formerly used as a commercial office and as a residence. The building is single-story with basement, comprises approximately 1,650 square feet, and was constructed in circa 1954. This structure is constructed of wood framing, with concrete masonry walls in the basement atop a concrete slab foundation. Exterior finishes included painted wood siding and asphaltic roofing shingles. The interior finishes include gypsum wallboard with a textured finish; carpet, vinyl sheet flooring, vinyl floor tile and exposed concrete flooring. The structure is heated with an electric forced air furnace located in the basement. Demolition Asbestos Survey Page No 3 23030 NE State Route 3,Belfair,Washington 3.0 REPRESENTATIVE ASBESTOS-CONTAINING MATERIAL SURVEY ATC representative Ms. Hillary Williams conducted the asbestos survey within the property structure. Ms. Williams is an AHERA-licensed asbestos building inspector. The property building was visually inspected for the presence of building materials that are suspected to contain asbestos. Bulk samples were obtained of materials suspect to contain asbestos and are categorized as "Regulated Asbestos-Containing Material" (RACM) under the United States Environmental Protection Agency (EPA), 40 C.F.R. Part 61, Subpart M, known as the National Emissions Standard for Hazardous Air Pollutants (EPA NESHAP). RACM is defined in Sec. 61.141 of the NESHAP and includes: (1) friable asbestos-containing material; (2)Category I non-friable ACM that has become friable; (3) Category I non-friable ACM that has been or will be sanded, ground, cut, or abraded; or(4) Category II non-friable ACM that has already been or is likely to become crumbled, pulverized, or reduced to powder. Friable ACMs include products such as thermal system insulation, plaster material and other ACM that can be crushed or reduced to powder using hand pressure. NESHAP Category I ACM includes asbestos-containing gaskets, packings, resilient floor coverings, resilient floor covering mastic, and asphalt roofing products containing more than one percent asbestos. Category 11 ACM includes all other non-friable ACM, for example, asbestos-cement (A/C) shingles, A/C tiles, and transite boards or panels containing more than one percent asbestos. Materials visibly identified as non-asbestos (fibrous glass, foam rubber, wood, etc.) were not sampled. The asbestos survey consisted of three basic procedures: 1) conducting a visual inspection of the structures; 2) identifying homogeneous areas (HAs) of suspect surfacing, thermal system insulation, and damaged miscellaneous materials; and 3) sampling accessible, friable and damaged non-friable suspect materials. Demolition Asbestos Survey Page No 4 23030 NE State Route 3,Belfair,Washington 3.1 Homogeneous Areas Prior to collecting any samples, homogenous areas (HAs) were identified and listed to develop a sampling strategy. A homogeneous sampling area can be described as one or more areas of material that are similar in appearance and texture and that have the same installation date and function. The actual number of samples collected from each homogeneous sampling area may vary, based on the type of material and the professional judgment of the inspector. 3.2 Hazard Assessment Factors From the list of suspect homogeneous materials, a physical assessment was performed for each material on the list. A physical assessment includes evaluating the condition, assessing the potential for disturbance, and determining the friability of each material. Friability is a term used to describe the ease in which a building material inherently lends itself to disturbance. By definition, "friable" materials are those that can be crumbled or reduced to powder by hand pressure when dry. Each material on the list was further classified into one of three categories, which have specific sampling requirements for each category. Surfacing Materials: Refers to spray-applied or troweled surfaces such as plaster ceilings and walls, fireproofing, textured paints, textured plasters, and spray- applied acoustical surfaces. Thermal System Insulation: Refers to insulation used to inhibit heat gain or loss on pipes, boilers, tanks,ducts, and various other building components. Miscellaneous Materials: Refers to friable and non-friable products and materials that do not fit in any of the above two categories such as resilient floor covering, baseboards, mastics, adhesives, roofing material, caulking, glazing, and siding. This category also contains wallboard and ceiling tile. All confirmed ACMs were then assessed by their condition as good (intact), fair (damaged), or poor (significantly damaged) per Title 40 Code of Federal Regulations Part 763 (AHERA rule). Material with localized significant damage was also assessed as poor when observed. Demolition Asbestos Survey Page No 5 23030 NE State Route 3,Belfair,Washington 3.3 Sampling Strategy The asbestos inspection was conducted for the purposes of renovation of the building using the minimum number of samples collected for each homogenous area of RACM in accordance with Federal Regulations Part 763 (AHERA rule). Samples obtained of suspect RACMs were collected from the property buildings and were shipped to NVL Laboratories, Inc. in Seattle, Washington for analysis. Hygeia's laboratory is an American Industrial Hygiene Association -National Voluntary Lab Accreditation Program(NVLAP) accredited laboratory for asbestos analysis. If the analytical results indicated that the homogeneous material did not contain asbestos, then the HA (material) would be considered a non-ACM. However, if the analytical results of one or more of the samples collected per HA indicate that asbestos is present in quantities of greater than 1 percent asbestos by weight (as defined by EPA), all of the HA (material) would be treated as an ACM regardless of any other analytical results. Material, which can visually be determined by the accredited inspector to be non-asbestos(i.e., fibrous glass, foam rubber, etc.) is not required to be sampled. Miscellaneous materials require adequately representative sampling, which is typically done by collecting from one to three samples per material. Inspectors typically rely on other survey observations such as the condition, friability, and quantity of material to determine what would be a sufficient amount of samples to accurately evaluate the presence or absence of asbestos content. Actual collection of a bulk asbestos sample involves physically removing a small piece of material and placing it in a marked, airtight container. Sample containers are marked with a unique identification number,which is also noted in the field notes. Demolition Asbestos Survey Page No 6 23030 NE State Route 3, Belfair,Washington 3.4 Suspect Asbestos-Containing Material Bulk samples were collected by ATC from the property building during the site visit on April 1, 2011. Sample Analysis was performed with associated layers for asbestos content by Polarized Light Microscopy (PLM) utilizing the "Method for the Determination of Asbestos in Bulk Building Materials" EPA 600/R-93/116, July 1993. The samples were analyzed based upon the number of distinct layers(materials)associated with each bulk sample. For example, gypsum wallboard with joint compound are collected as one bulk sample but are analyzed as two distinct materials by the asbestos laboratory, as required by to the Occupational Safety and Health Administration(OSHA). The following table provides a summary of identified, accessible suspect and confirmed ACMs as well as laboratory results: Asbestos Survey Results Proposed O'Reilly Automotive Property 23030 Northeast State Route 3 Belfair,Washington April 1,2011 Material Sample Friable Quantity Description Number(s) Location Condition Yes/No (NESHAP Asbestos Content Category) 01 -NAD Tan Spray-Applied NW Office,NE 02-NAD Texture over 01 to 05 Office, Reception,SE Good Yes 2,112 SF 03 -NAD Gypsum Wallboard Conference Rm. 04-NAD 05-NAD Tan Spray-Applied 06-NAD Texture over 06 to 08 Basement Good Yes 100 SF 07-NAD Plywood Walls 08-NAD Tan Spray-Applied SW Office,SE 09-NAD Texture over 09 to 11 Conference Rm., Good Yes 711 SF 10-NAD Gypsum Ceiling Kitchen 11 -NAD 12 to 16— GWB is NAD, Wallboard and Joint Joint Compound Compound 12 to 16 Throughout Good No 1,000 SF has 2% Chrysotile. Composite is less than 1% <I% Yellow Mastic under Dark Tan Carpet over Cream Sheet Vinyl 17 Reception Area Good No 168 SF NAD with Off-White Fibrous Backing over Wood Flooring Demolition Asbestos Survey Page No 7 23030 NE State Route 3, Belfair,«ashin-ton Asbestos Survey Results Proposed O'Reilly Automotive Property 23030 Northeast State Route 3 Belfair,Washington April 1,2011 Material Sample Friable Quantity Description Number(s) Location Condition ties/No (NESHAP Asbestos Content Category) Yellow Mastic under Dark Tan 18 NE Office Good 234 SF N\1) Carpet over Wood Flooriniz Tan Sheet Flooring with Diamond Pattern and Fibrous 19 Kitchen Good Yes 255 SF NA1) Backing with Tan Mastic over Wood Floorin Cream Sheet Flooring with Diamond Pattern 20 SE Bathroom Good Yes 45 SF N.11) and Fibrous Backing with White Mastic over Wood Floorin Blackish Tan Sink 21 Kitchen Good No 2 EA NAD Undercoating White Grout 22 Basement Good No 500 SF NAD Painted on CMU Silver Sticky Tape 23 Basement Good No 10 LF NAD on Furnace Black Sticky Tape 24 Basement Good No 10 LF NAD on Furnace Gray Grout on 25 Basement Good No 40 SF N;11) Chimney Brick 9"x9" Tan/Gray/Blue 26 NE Bath Good No 6 SF NAD Vinyl Floor Tile over Wood 1211x12"White Textured Ceiling 27 NW Office Good Yes 300 SF NAD Tile Asphaltic Shingle Not Roof Good No 2,000 SF PA(Al Roofing&Mastics Sampled 4"x4"Beige Ceramic Wall Tile Not SE Bathroom Good No 100 SF P_\( I with Associated Sampled Mastic and Grout Black Fabric Flex Connector on Not Basement Good No I FA PA(Al Furnace Sampled Mastic Dots under Not 12"x12"White Sampled NW Office Good No 634 SI' PAC�1 __LeilinE Tiles SF: Square Feet NAD:No Asbestos Detected GWB:Gypsum Wallboard Demolition Asbestos Survey Page No 8 23030 NE State Route 3, Belfair, NN'ashington EA:Each or Individual Units CMU:Concrete Masonry Unit LF:Linear Feet Cat.I—NESHAP Category I Non-friable PACM:Presumed ACM ACM may be present in other areas on site in inaccessible or concealed spaces. These spaces include, but are not limited to, the attic, crawlspaces, pipe chases, spaces between wall/ceiling/door cavities, interior of mechanical components such as furnace cavities, interior ducts, beneath foundations, etc. If the demolition/renovation activities expose these areas, ATC recommends that a thorough assessment of these spaces be conducted at that time to identify and confirm the presence or absence of additional ACMs. Until then, all such unidentified materials should be treated as presumed asbestos containing material (PACM) in accordance with 29 CFR 1926.1101 and 1910.1001. 3.5 Laboratory Analytical Results Bulk samples were analyzed by NVL Laboratories, Inc. (NVL) located in Seattle, Washington, using polarized-light microscopy (PLM) and dispersion staining (EPA Method 600/R-93/116, July 1993). NVL participates in the National Voluntary Laboratory Accreditation Program (NVLAP) quality assurance program for PLM accredited by the National Institute of Standards and Technology (NISI),NVLAP Accreditation No. 102063-0. Any material that contains greater than 1 percent asbestos is considered an ACM and must be handled according EPA, State of Washington and other applicable local regulations. For friable materials, when the amount of asbestos in the sample material is reported as "None- Detected" by PLM analysis, no further verification of the sample results by Point Counting Methodology is recommended. For friable materials, when the amount of asbestos in the sample material is reported at less than 10% by PLM analysis, the client may either assume the amount to be greater than 1%and treat the material Demolition Asbestos Survey Page No 9 23030 NE State Route 3,Belfair,Washington as ACM or require further verification of the amount by Point Counting Methods. If the result obtained by Point Counting is different from the result obtained by PLM analysis,the Point Count Method result should be used. For non-friable materials, when the amount of asbestos in the sample material is reported at greater than I% by PLM analysis, no further verification of the sample results by alternative methods of identification such as Transmission Electron Microscopy(TEM)Chatfield method is recommended. For non-friable materials, when the amount of asbestos in the sample material is reported as "None- Detected" or less than 1% by PLM analysis, due to the difficulty in analyzing non-friable or resinously bound materials, ATC recommends that these types of materials, which were reported as non-ACMs by PLM, be analyzed using TEM Chatfield method. Copies of the laboratory analytical reports and corresponding chains-of-custody are included in Appendix A. Results are reported in percent asbestos by volume and indicate the types of asbestos. Other common non-asbestos components may also be noted on the analytical reports. Inspector and laboratory accreditations are provided in Appendix B. r r Demolition Asbestos Sur%ey Page No 10 23030 NE State Route 3, Belfair, NN ashington 4.0 RECOMMENDATIONS The results of laboratory testing during the asbestos building demolition survey conducted at the commercial building located at 23030 Northeast State Route 3 in Belfair, Washington indicate that the joint compound was also found to contain 2% asbestos, though as a composite with the wallboard, the composite was found to contain less than 1%asbestos(<1%). It should be noted that ATC does not core sample roofing products to prevent voiding roof warrantees and avoid roof leaks. ATC was unable to access the asphaltic shingle roofing for sample collection. Roofing materials and any other suspect ACMs found behind walls or in hidden cavities should be assumed to contain asbestos and handled and disposed accordingly. Prior to performing demolition-related activities, ACMs that may be disturbed must be removed by a Washington State-licensed abatement contractor in accordance with applicable regulations. ATC also recommends contracting the services of an environmental consulting firm to develop an Asbestos Project Design for the asbestos abatement project. In addition, ATC recommends hiring an Industrial Hygiene firm to monitor and document that the contractor activities comply with the L&I, OSHA, EPA, ORCAA and applicable local city and county requirements. During the survey, ATC identified wallboard and joint compound materials to contain trace (less than I percent) levels of asbestos. Based on the intended demotion of the building, it is understood that the wall system with trace levels of asbestos will be disturbed. Olympic Region Clean Air Agency(local NESHAP)does not regulate materials containing trace levels of asbestos; however, the Washington State Depart of Labor and Industries (L&I) does regulate these materials, when they are disturbed. L&I does not consider the disturbance of wallboard and joint compound with trace asbestos content an asbestos project; however the removal process of this kind of wallboard system is still regulated by L&I. Employees and/or contractors may not use sanding or grinding or other Demolition Asbestos Survey Page No 11 23030 NE State Route 3, Belfair,Washington destructive techniques on the wall surface and joint compound directly, unless specific engineering controls are taken to protect the work environment, per Washington Industrial Safety and Health Act (WISHA) Regional Directive(WRD) 23.30. The guidelines established by the WRD 23.30 and enforced by L&I do not require removal by a licensed asbestos abatement contractor prior to demolition, but these materials must be removed using the basic asbestos work practice requirements as outlined in WAC 296-62-17712, paragraph (2). Workers must have asbestos awareness and "hands-on" training as required by WAC 296-62-07722, paragraph (5) and WRD 23.30. All work must be supervised by a competent person, as defined by WAC 296-62-07728. If the building is scheduled for demolition, then the wallboard system with trace asbestos can be left in place, but no visible emissions are allowed during the demolition. ATC recommends the constant application of water during demolition activities. For contractor compliance and until a negative exposure assessment (NEA) is performed during the demolition of the trace asbestos materials, the contractor will have to follow procedures set forth by the L&I under the WAC and WRD 23.30 including worker protection methods and the use of engineering controls. According to L&I, some examples of appropriate engineering controls include the use of wet, non-aggressive methods, prompt clean-up, and the use of vacuums equipped with high efficiency particulate air (HEPA) filters. Workers must have asbestos awareness and "hands-on" training as required by WAC 296-62-07722, paragraph (5) and WRD 23.30. Workers must also wear appropriate respiratory protection until air monitoring results determine that worker exposure is below the permissible exposure limit (PEL) for asbestos. Non-friable, asphaltic roofing was observed at the building and presumed to be ACM. ATC recommends testing of this material prior to removal. ATC also recommends contracting the services of an environmental consulting firm certified to complete an Asbestos Project Design for the asbestos abatement project. In addition, ATC recommends hiring an Industrial Hygiene firm Demolition Asbestos Survey Page No 12 23030 NE State Route 3,Belfair,Washington to monitor and document that the contractor activities comply with the L&I, ORCAA, OSHA, EPA and applicable local city and county requirements. Contractors working within the structure should be made aware of the possibility of concealed ACMs that could be found during interior demolition site activities. Any concealed building materials discovered during site activities or during interior demolition, which are suspected to contain asbestos, should be sampled and analyzed to confirm the presence of asbestos prior to the disturbing such materials. Also note that the manufacture and import of asbestos-containing vinyl floorings, mastics, roofing materials, etc. have not been prohibited by the EPA. As a result, any future replacement materials should be verified to be asbestos-free prior to installation. Demolition Asbestos SurwN Page No 13 23030 NE State Route 3, Belfair,Washington 5.0 ASSUMPTIONS AND LIMITATIONS The results, findings, conclusions, and recommendations expressed in the report are based only on conditions that were noted during the April 1, 2011 ATC inspection of the building located at 23030 Northeast State Route 3, Belfair, Washington. ATC's selection of sample locations and frequency of sampling was based on field observations and the assumption that like materials in the same area are homogeneous in content. The report is designed to aid the building owner, architect, construction manager, general contractors, and potential asbestos or lead abatement contractors in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement Workplan. Our professional services have been performed, our findings obtained, and our conclusions and recommendations prepared in accordance with customary principles and practices in the fields of environmental science and engineering. This statement is in lieu of other statements either expressed or implied. This report does not warrant against future operations or conditions, nor does it warrant against operations or conditions present of a type or at a location not investigated. This report was prepared exclusively for O'Reilly Automotive Stores, Inc. The scope of services performed in execution of this evaluation may not be appropriate to satisfy the needs of other users, and use or re-use of this document or the findings, conclusions, or recommendations is at the risk of said user. APPENDIX A LABORATORY ANALYTICAL RESULTS HAZARDOUS N A T L R I A L S MANAGEMENT•TRAINING•LAB SERVICES April 4, 2011 INVILTM Hillary Williams L A B S ATC Associates, Inc. 6347 Seaview Avenue NW N A Z A R D O U S Seattle , WA 98107 AN A T 9 1 1 A L s S 1 R Y I C B $ RE: Bulk Asbestos Fiber Analysis, NVL Batch#3104657.00 Dear Ms.Williams, Enclosed please find test results for the bulk samples submitted to our laboratory for analysis. Examination of these samples was conducted for the presence of identifiable asbestos fibers using polarized light microscopy (PLM) with dispersion staining in accordance with U.S. EPA/600/R-93/116 Test Method. For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in the sample is determined by visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. If you would like us to further refine the concentration estimates of asbestos in these samples using point counting, please let me know. This report is considered highly confidential and will not be released without your approval. Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are discarded after two weeks. Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we can assist you with. Sincerely, nical Director NVL LABORATORIES.INC NVLAP Lab Code 102063-0 4708 AURORA AVE N SEATTLE.WA 98103.6516 W w W.n V I I a b s.c 0 m TEL 206.547.0100 1.888.NVL.LASS (685.5227) FAX 206.634.1936 Enc.: Sample Results n VllabsOnvllabs.com NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.\~. absFax.co6.634.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Protect#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Lab ID: 31024543 Client Sample#: 01 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024544 Client Sample#: 02 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024645 Client Sample#: 03 Location. O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024546 Client Sample M 04 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024547 Client Sample#: 05 Location: O'Reilly Belfair Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Note If samples are not homogeneous. then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 1 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel: 206.547.www absFax.co6.634.1936 Bulk Asbestos Fibers Analysis www nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024548 Client Sample#: 06 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024549 Client Sample#: 07 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024550 Client Sample#: 08 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint(on trace wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024551 Client Sample#: 09 Location: O'Reilly Belfair Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date: 04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Note. If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 2 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N , Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.www. Faxabs.co6.634.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle ,WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 1 of 1 Description: Off-white compacted powdery material with white paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Lab ID: 31024552 Client Sample#: 010 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with white paint and trace sandy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Paint None Detected ND None Detected ND Sand Lab ID: 31024553 Client Sample#: 011 Location O'Reilly Belfair Layer 1 of 1 Description: Off-white thin compacted powdery material with white paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles. Binder/Filler, Paint None Detected ND None Detected ND Lab ID: 31024554 Client Sample#: 012 Location: O'Reilly Belfair Comments: Composite result for Layer 3& Layer 4 and Layer 5 equals less than 1%asbestos Layer 1 of 5 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Layer 2 of 5 Description: White soft material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Layer 3 of 5 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick r Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -931116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector This report shall not be reproduced except in full,without written approval of NVL Laboratories. Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 3 of 9 NVL Laboratories Inc. r 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel: 206.547.www. absFax.co6.634.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Prcject#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 4 of 5 Description: Off-white thin compacted powdery material with blue paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 5 of 5 Description: Off-white chalky material with paper(on wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 20% None Detected ND Lab ID: 31024555 Client Sample#: 013 Location: O'Reilly Belfair Comments: Composite result for whole sample is less than 1%asbestos Layer 1 of 4 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Layer 2 of 4 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 3 of 4 Description: Off-white compacted powdery material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler Cellulose 37% Chrysotile 2% Layer 4 of 4 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Gypsum/Binder Cellulose 1 7% None Detected ND Lab ID: 31024556 Client Sample M 014 Location: O'Reilly Belfair Comments: Composite result for whole sample is less than 1%asbestos Layer 1 of 4 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date: 04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick 00 Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%. 5%=1-9%, 10%=5-15%. 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 4 of 9 NVL Laboratories Inc. ad 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.0100, Fax:206.634.1936 www.nvllabs com Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356,0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Paint Layer 2 of 4 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 3 of 4 Description: Off-white compacted powdery material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler Cellulose 40% Chrysotile 2% Layer 4 of 4 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 15% None Detected ND Lab ID: 31024557 Client Sample#: 015 Location O'Reilly Belfair Layer 1 of 3 Description: White compacted powdery material with paint Non-Fibrous Materials. Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Layer 2 of 3 Description: Off-white soft material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Layer 3 of 3 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 22% None Detected ND Lab ID: 31024558 Client Sample#: 016 Location. O'Reilly Belfair Comments: Composite result for Layer 4& Layer 5 and Layer 6 equals less than 1% asbestos Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Ir Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -931116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%. 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government, Page 5 of 9 NVL Laboratories Inc. Avup 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel: 206.s47.www. absFax.co6.634.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 1 of 6 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Layer 2 of 6 Description: Off-white soft material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected "VD None Detected ND Layer 3 of 6 Description: White compacted powdery material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Layer 4 of 6 Description: Off-white compacted powdery material with green paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 5 of 6 Description: Off-white compacted powdery material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Binder/Filler Cellulose 40% Chrysotile 2% Layer 6 of 6 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 25% None Detected ND Lab ID: 31024559 Client Sample#: 017 Location: O'Reilly Belfair Layer 1 of 3 Description: Light beige soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Synthetic fibers <1% None Detected ND 01 Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Irec Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 6 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel 206.547.0100, Fax. nvllabsabs.com Bulk Asbestos Fibers Analysis www. By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 2 of 3 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 3 of 3 Description: Light gray fibrous backing with mastic(on trace wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Mastic/Binder Cellulose 60% None Detected ND Glass fibers 3% Lab ID: 31024560 Client Sample#: 018 Location: O'Reilly Belfair Layer 1 of 1 Description: Trace multi-color woven fibrous material with mastic(on wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Mastic/Binder Synthetic fibers 35% None Detected ND Lab ID: 31024561 Client Sample#: 019 Location O'Reilly Belfair Layer 1 of 2 Description: Off-white/beige sheet vinyl Non-Fibrous Materials: Other Fibrous Materials-.% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Light gray fibrous backing with tan brittle mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Mastic/Binder Cellulose 67% None Detected ND Glass fibers 1% Lab ID: 31024562 Client Sample#: 020 Location. O'Reilly Belfair Layer 1 of 4 Description: Off-white soft material Non-Fibrous Materials: Other Fibrous Materials% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Ni Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-91/6, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 7 of 9 ' ad� NVL Laboratories Inc. 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 TeL 206.547.0100, Fax:206.634.1936 www.nvllabs.com Bulk Asbestos Fibers Analysis wwrw. By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 2 of 4 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 3 of 4 Description: Light gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Mastic/Binder Cellulose 65% None Detected ND Layer 4 of 4 Description: Trace black brittle material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Lab ID: 31024563 Client Sample#: 021 Location: O'Reilly Belfair Comments: Qualitative analysis was conducted for the presence of asbestos fibers in this sample. Layer 1 of 1 Description: Gray debris Non-Fibrous Materials. Other Fibrous Materials:% Asbestos Type: % Fine particles. Binder/Filler, Paint Cellulose None Detected ND Mastic/Binder Glass fibers Lab ID: 31024564 Client Sample#: 022 Location: O'Reilly Belfair Layer 1 of 1 Description: Gray cementitious material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Cement/Binder, Paint Cellulose 1% None Detected ND Lab ID: 31024565 Client Sample#: 023 Location: O'Reilly Belfair Layer 1 of 1 Description: Clear soft adhesive with foil Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Adhesive/Binder, Metal foil None Detected ND None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Ir Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%. 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 8 of 9 I NVL Laboratories Inc. ate_ 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel: 206.547. Fax2o6.634.1936 www.nvllabs.com Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch M 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10 75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Lab ID: 31024566 Client Sample#: 024 Location: O'Reilly Belfair Layer 1 of 1 Description: White woven fibrous material with mastic and black elastic material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Mastic/Binder, Synthedc/Binder Synthetic fibers 45% None Detected NO Lab ID: 31024567 Client Sample#: 025 Location: O'Reilly Belfair Layer 1 of 1 Description: Gray sandy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Paint None Detected ND None Detected ND Lab ID: 31024568 Client Sample#: 026 Location: O'Reilly Belfair Layer 1 of 2 Description: Beige/black vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Vinyl/Binder None Detected ND None Detected NO Layer 2 of 2 Description: Brown brittle mastic(on trace wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Cellulose 3% None Detected NO Lab ID: 31024569 Client Sample#: 027 Location: O'Reilly Belfair Layer 1 of 1 Description: Tan compressed fibrous material with textured paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Adhesive/Binder, Paint Cellulose 94% None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick L c Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%) This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 9 of 9 f • BATCH ID NVL Laboratories, Inc. CHAIN of CUSTODY 3104657.00 4708 Aurora Ave N, Seattle,WA 98103 Tel: 206.547.0100 Emerg.Pager:206.344.1878 SAMPLE LOG L A B S Fax:206.634.1936 1.888.NVL.LABS(685.5227) Client ATC Associates NVL Batch Number. Street 6347 Seaview Avenue NW _ Client,lob Number.10.75356.0196 Task 76002 - Seattle,WA 98107_ - - - - - - - Total Samples - 4-� Project Manager Hillary Williams - Turn Around Time 1-Hr 24-Hrs I _ Days Project Location O'Reilly Belfair - _ 2-Hrs i 2 Days Days - - - - - - - - - _4-Hrs 3 Days Cl 6 to 10 Days Please call for TAT less than 24 Hrs Email address hillary_williams@atcassociates.com Phone: (206)781-1449 Fax: (206)781-1543 Cell (206)300-OE41 Asbestos Air I[]PCM(NIOSH 7400) E_;TEM(NIOSH 7402) E ,TEM(AHERA) I TEM(EPA Level II) FJ Other x-Asbestos Bulk[ PLM(EPA/600/R-93/116) L;PLM(EPA Point Count) []PLM(EPA Gravimetry) TEM Bulk J METALS Det.Umit Matrix s _ _ = RCRA Metals All 8 Other Metals - -7 Total Metals ppm(AAS) LJ Air Filter Paint Chi i_.All 3 TCLP - � Cl Arsenic(As} _j Lead(Pb) ppb(GFAA) (-1 Drinking water Paint Chips(Area) [J Barium(Ba) Mercury(Hg) (l Copper(Cu) [ I Dust/wipe r !Waste Water ❑Cadmium(Cd) Selenium(Se) L I Nickel(Ni) I Soil -1 Chromium(Cr) Silver(Ag) r]Zinc(Zn) Other Types Fiberglass L-I Nuisance Dust I-[Other(Specify) of Analysis Silica 71 Respirable Dust Condition of Package: i Good [J Damaged(no spillage) -I Severe damage(spillage) Seq.# Lab ID - Client Sample NumberJ Comments - - - - - - - - AIR - - - 1 ° 4 - - - - - — - - - - - - - 6 - - - - --J - - - - - - - 8 - - - �- 9 -4 I I 10 11 12 13 1415 - - - - Print Below _ Sign Bel - - — _ Company _ _ Date _ Time _ Sampled byIHillary Williams _ ATC Associates _ Relinquished bylHillary Williams _ _ ATC Associates Received byR11 Analyzed b Results Called by Results• -- - - - - - - i - Special Instructions: Unless requested in twriing, all samples will be disposed of two(2)weeks after analysis. ATC PROD. NO. /O �'S �(v • 01R6 j?uoL7 DATE: v lr f / PAGE I of S kTC BULK SAMPLE LOG O AREA# AREA NAME/DESCRIPTION AREA# AREA NAME/DESCRIPTION ,, ,. ASSOCIATES INC. CLIENT: `,� Q P/�,�� ti�„ f „ , ENVIRONMENTAL,GE07ECHNICAL AND MATERIALS PROFESSIONALS PROJECT: >�X JY -r Vu 6347 Seaview Ave.NW•Seattle,WA 98107 EVALTR: Ff•vUi I( i a W S 0 a2 /yE `C_' IOl = O G PERCENTAGES n 1 UN.FT. CO P POSITIVE AMOSITE Q.C. 2 SQ FT.,� 3 SII YDS. N cp4CcOL� Of�0 � K V1 uc 4 CU.K AREA AREA MTRL MATERIAL ESTIMATED 5 j,t EACH SAMPLE s BLDGfLOOR 6 USAGE OSE DESCRIPTION QUANTITY { fa (fi}t�� _61.11�1p.L( .`?u� . cg-�rtC� -Ct �� ICJ to Lo go L/L . . . . . .. 1. .1�. tf. . . . . . . . 1(010 F "7 zj v ' .. i c '. i 1;�- 4 4! 5erftRn . . . . . . . . 10 ti Q Whide. paioi-�d. b?Im.P. Si Cfuclime �? 1e c.f. it 1 (a � . . . . . . . . . . . . . . . . . . . . . . . . . . t IL 01 13OLEFI INSULATION I t_ MATERIAL CODES(SEE BELOM AREA USAGE --� 02 BOILER LAGGING 03 BREECHNGPrAXATON 24 SPRAY-APPLIED ACOUSTICMATL 43 ROCFINUCO►POSITE S�d-5 FRIABILITY DAMAGE ARMOVEMENT ACCESSIBILITY 04 BREECHM LS43GM 25 ACOUSTIC PANEL (ROOF CUT) 1 VOIDICHASE/ 3 STORAGE Q= S= IL= Qmca OS CHILLER INSULATION 26 ACOUSTIC PANEL(Z X Z7 44 ROOFNGCAPSFEET CAVITY 4 OCCASIONAL 1 NONFRIABLE 1 NONE E 1 NONETOLOW 1 LOW 06 CHILLER LA13GNG 27 ACOUSTIC PANEL(?X41 45 ROOFNGSHNGLE 2 MECHANICAL 5 CONTMXXLS 2 FRIABLE 2 MINOR 2 HK ATE 2 F[31 07 STORA,GE.TANNIEXCHANGER NSL 26 ACOUSTIC TILE(12'X 12-) 46 ROOF FLASHING 3 MAJOR 3 34 K 3i oB STORAGE TANUEXGWNGEALAG13 29 ACOUSTIC TILE(V X 2) 47 ROOFNG FELT FOR LAB USE ONLY 09 PUMP HOUSING INSULATON 30 ACOUSTIC TILE MASTIC 46 ROOFING MASTIC 10 PUMP FOW14G LAGGING 31 RESILIENT FLOOR TILE(T X W) 46 THERMAL INSULATION 1 1 GASKE1Rf 32 RESILIENT FLOOR TILE(12'X 127 50 FEAT SHIELD 12 FLUE INSULATION 33 FLOOR TILE MASTIC 51 TRANSITE SHEET MATT 13 TRANSITE PIPE 34 RESILIENT SHEET FLOORING 62 MORTARG 90UT 14 PIPE FITTING INSULATION 36 SHEET FLOORING MASTIC 53 SM UNDERCOAT MATERIAL 1 5 PIPE FITTING NSL LAGGING 36 BASEBOARD 54 POWER LEAD INSULATION ANALYSTS SIGWATURMATE .16 PIPE RUN INSULATION 37 BASSEBOARDMASTIC 55 WALLPAPER SG EXTERORSTIACO 17 PIPE RUN NSL LAGGING 36 SPRAY-APPLIED FIREPROOF NG 56 FABRIC/ROPE 60 ROOF PENETRATION 16 PLASTER BROWNISCRATCHCOAT 36 HVACFLEXBLECONIECTOR 57 WOOD FLOOR MASTIC MASTIC DIRECTORS SIGNATUR E 19 PLASTER FINISH COAT 40 DUCT NSULATON 66 FIRE-RATED/NSUATED 61 CARPET MASTIC 20 PLASTER COMPOSITE 41 DUCT INSULATION LAGGING OOOFR CORE 62 OTHER(DESCABE) 21 WALLBOARD 42 DUCT TAPE 22 dDNTCOMPOLND WHITE-RETURN TO ATC WITH RESULTS(FILE COPY) YELLOW-LAB COPY PINK-ATC FIELD COPY' REVISED 7190 23 PAINT/COATING 1 ATC PROJ. NO. /o. 3510, 01Cl co T- -4tpoozDATE: J v I 117, PAGE � OF � BULK S♦+.APPLE LOG CLIENT: O �..i\l�.t AREA# AREA NAMEJDESCRIPTION AREA* AREA NAMEIDESCRIPTION v ASSOCIATES INC. j� ENVIRONMENTAL,GEOTECHNICAL AND MATERIALS PROFESSIONALS PROJECT: t��u.J Oe f ll L T 6347 Seaview Ave.NW•Seattle,WA 98107 EVALTR: "•W�� CLWIS U ' �. L"Is POSiNEG. PFACENTAGES G 1 O , RVTLE j N6 Q �`(✓� 1 LN.FT. P POSITIVE � WAMOSITE QC. _ 2 Sa FT. N NEGATIVE CHOODOL11EF=]uSf:: u)VAkVtV1c-c, 1 1 4 CLL IN. AREA AREA MTRL MATERIAL ESTIMATED 5 EACH SAMPLE 0 BLDGIFLOOR o USAGE 031 DESCRIPTION QUAWIT F t Lq, 3 ` AO"t *• cat '. . . . . . . . . . . . . . . . . . . a 5 S d Lo 22 :titn .powrec.c. .06w tic.. . no.kk u c��. 500 N �Qu'�+eedt. fcxWA-e-. W1.� ,io ,tC— . . a bt y .19LOW� iP Hr►�91�'C .!N^ . . da►lc t�,�::4,q�'I t "/ PtS o �0 r L V r � 1 � clonh w �'•�tt c('kl aLn e r.5 vn Ie �r tallrr?' . . 3 qj v � � `� 3S ��►. � j W #< {I Q k1' . e)Jyt L, A,o PA —jil U_L—i—E 01 BOILER NSUUTION L MATERIAL CODES(SEE BELOW) D2 SOLER LAGGING AREA USAGE �--� 03 BREECHNGNSl1LATION 24 SPRAY-APPLJED ACOUSTIC MATL 43 ROOFING COMPOSITE FRLABLRY DAMAGE AIR MOVEMENT ACCESSIBILITY 04 BREECHNGIAG'ING 25 ACOUSTIC PANEL (ROOFWT) 1 VOID/CHASE/ 3 STORAGE Q= LIM m= Qmm 05 CHILLER INSULATION 26 ACOUSTIC PANEL(Z X2) 44 ROOFNGCAPSHEET CAVITY 4 OCCASIONAL 1 NONFRNBLE 1 N3 E i NONETOLOW 1 LOW 06 CHILLER LAGGING 27 ACOUSTIC PANEL(Z X 41 45 ROOFNGSHNGLE 2 MECHANICAL 5 COHfTLXXb 2 FRIABLE 2 MINOR 2 MOLETATE 2 HIGH 07 STORAGE TANK/DCCHANGERNSL 28 ACOUSTIC-TILE(12-X 12-) 46 ROOF FLASHING 3 MAJOR 3 H H 08 STORAGET/VJGIDQCI- £ LAW 29 ACOUSTICTILE(I-XZ) 47 ROOFNGFELT FOR LAB USE ONLY 09 PLI MP HOUSING INSIIATION 30 ACOUSTIC TILE MASTIC 48 ROOFNGMASTC 10 PUP HOUSING LAGGING 31 RESILIENT FLOOR TILE(9•X o) 49 THERMAL INSULATION 1 1 GASKETRY 32 RESILIENT FLOOR TILE(12-X 121 50 HEAT SHIELD 12 FLUE INSULATION 33 FLOOR TILE MASTIC 61 TRANSTTE SHEET MATL 13 TRANSITE PIPE 34 RESILENT SIJEET FLOORING 52 MORT44OX A 14 PIPE FITTING INSULATION 36 SHEET FLOORNG MASTIC 63 SINK UNDERCOAT MATERIAL 15 PIPE FITTING NSL LAGGING 36 BASEBOARD 54 POWER LEAD NSLAATION 16 PIPE RUN NSULATXIN 37 BASEBOARD MASTIC 65 WALLPAPER 59 EXERIORSTU000 ANALYSTS SIGMTURMATE 17 PPE RUN NSLLAGGNG 38 SPRAY-APPLIED FIREPROOFING 66 FABRXOROPE 60 ROOF PENETRATION 18 PLASTER BROWNISCRATCH COAT 39 HVAC FLEXIBLE CONNECTOR 67 WOOD FLOOR MASTC MASTIC DIRECTORSSIGNATURE/D 19 PLASTER FINISH COAT 40 DUCT NSULATCN 66 FIRE-RATED1*64AATED 81 CARPET MASTIC LAB ATE 20 PLASTER COMPOSITE 41 DUCT INSULATION LAGGNG DOOR GORE 62 OTHER(DESCRIBE) 21 WALLBOARD 42 DUCT TAPE 22 .IONTOOMPOtND WHITE-RETURN TO ATC WITH RESULTS (FILE COPY) YELLOW-LAB COPY PINK-ATC FIELD COPY' REVISED 7/90 23 PAINT=ATING ATC PROJ. NO. ID 35� • (�k`'1 T ltoOZ DATE: a� 1 I_ 11PAGE S OF \�// �� BULK SAMPLE LOG AREA# AREA NAME/DESCRIPTION AREA# AREA NAME(DESCRIPTION �' ,.,�, ,.�.ASSOCIATES INC. CLIENT: (Y ooR�-6((� '^ ENVIRONMENTAL,GEOTECHNICAL AND MATERIALS PROFESSIONALS PROJECT. r� -� '� �'� � r ` 6347 Seaview Ave.NW•Seattle,WA 98107 EVALTR: J f (�i w` ! 1 Q s ��c PERCENTAGES N 1 LIN.FT. P POSITIVE �AMO�SITE O.C. 2 SQ FT. N NEGATIVE AREA AREA MTRL MATERIAL EST TFO 6 EACH SAMPLE s BLDGOFLOOR A USAGE �E DESCRIPTION F1 i 1 D �' � Z -b�a,e.-�,c:.t•�� --�-�w •s�.N`(,`'-t,�,s„t w c�S• ITY ` o ` IrplA N-*cent u e %.d 3 � nt ) S � 11v It l 1(p a 1 J�'!c Ivl S�?ilrt .. q.'�Ot .JF? �V1 cp—. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a I BOILER NSULATTON r LL MATERIAL CODES(SEE BELO" AREA USAGE 02 BOILER LAGGING > FRIABILITY DAMAGE AIRMDVEMEM ACCESSI&LRY 03 BREECI�NONSILATDN 24 ACOUSTICPANEL OUSTiCMAT'L 43 RDOFNGCOMP06RE 1 VOID/CHASEI 3 STORAGE � � SOD H= 04 WEECHNGLAGISM 26 ACOUSTIC QOODa� CAVITY 4 OCCASIONAL 1 NONFRIABLE 1 mm 1 NONETOLOW 1 LOW 06 CHILLER NSuLATION 26 ACOUSTIC PANEL(T X 7) 44 ROOFNGCHN13LE f 2 MECFNNCAL S CON INUOLS 2 FRIABLE 2 MINOR 2 MODERATE 2 HIGH OB CHILLER LAGGING 27 ACOUSTIC PANEL(7 X 41 4 S FiDOFH057•INLAE 3 MA" 3 HM 0 7 STORAGE TANWEXCHANGER NSL 2I ACOUSTIC TILE(17 X 121 46 ROOF FLASHING 09 STORAGE TANVJE)9;HANIGER LAOG 29 ACOUSTIC TILE(T X 7) 47 R 30FNGFUT FOR LAB USE ONLY O9 PUMP LOUSING INSULATION 30 ACOUSTIC TILE MASTIC 49 ROOFING MASTIC 1 O PUMP HOUSING LAOGING 31 RESILIENT FLOOR TILE(9•X 9-) 49 THERMAL INSULATION 11 GASIETRY 32 RESILIENT FLOOR TILE(17 X 121 60 LSAT SHIELD 12 FLUE INSULATION 33 FLOOR TILE MASTIC 61 TRANSITE SLEET MATT_ 13 TRANSITE PIPE 34 RE%ENTsiEETR. MV6 62 MORTARGROUT 14 PIPE FITTING INSULATION 36 SHEET ROORNG MASTIC 63 SINK UNDERCOAT MATERIAL 16 PIPE FITTING NSL LAGGING 36 BASEBOARD 64 POWER LEAD INSULATION .76 PIPE RUN INSULATION BASEBOARD MASTIC 65 WALLPAPER 69 EXTERIOR STUCCO A S A 17 PPE RUN NSL LAGGING 39 SPRAY-APPLIED RR N EPROOF O 66 FASMOROPE 60 ROOF PENETRATION is PLASTER BROWNISCRATCH COAT 39 HVAC FLEXIBLE CONNECTOR 67 WOOD FLOOR MASTIC MASS LAB DIRECTORS IGNATUR 19 PLASTER FINISH COAT 40 DUCT INSULATION 58 FIRE-RATEDANSLAATED B 1 CARPET MASTIC PL ASTER ASTER COMPOSITE 41 DUCT INSULATION LA ING GG DOOR CORE 62 OTHER(DE.SCRIBP 21 WALLBOARD 42 DUCT TAPE 22 JOINTCOI4POUID WHITE-RETURN TO ATC WRH RESULTS (FILE COPY) YELLOW- LAB COPY PINK-ATC FIELD COPY' REVISED 7,90 23 PAINUCOATNG APPENDIX B INSPECTOR AND LABORATORY ACCREDITATIONS "I low eertl"f t' rate of Completton � This is to certify `.; Hillary has satisfactorily completed hours of training I Inspector Asbestos Building 1 le" i to comply with the training requirements of 0, Certificate Number Instructor _ EPA Provider Cert. Number: 1085 r) Exam TRAINING-CONSULTING Score: Expiration • - • 2012 y `IT United States Department of Commerce National Institute of Standards and Technology 0 Certificate of Accreditation to ISO/IEC 17025:2005 NVLAP LAB CODE: 102063-0 NVL Laboratories, Inc. Seattle, WA is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for: BULK ASBESTOS FIBER ANALYSIS This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-IAF Communique dated January 2009). t_ENT OF co...QP 1 �F�n 2010-10-01 through 2011-09-30 Effective dates Z�OSTgTES OF For the National Inst4fute of Standards and Technology NVLAP-01C(REV.2009-01-28) Oil of CO vQ �`c9 ° National Voluntary Laboratory Accreditation Program j—]'.7 e F�SlgTES OE 1 SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 NVL Laboratories,Inc. 4708 Aurora Avenue N. Seattle, WA 98103 Mr. Nghiep Vi Ly Phone: 206-547-0100 Fax: 206-634-1936 E-Mail: nick.l@nvllabs.com URL: http://www.nvllabs.com BULK ASBESTOS FIBER ANALYSIS (PLM) NVLAP LAB CODE 102063-0 NVLAP Code Designation/Description 18/A01 EPA-600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples 2010-10-01 through 2011-09-30 Effective dates For the National Inshute of Standards and Technology Page 1 of 1 NVLAP-01S(REV.2005-05-19) 1 ' APPENDIX C SAMPLE LOCATION FIGURES Covered TF1 12 21 11 19 02 Porch os SW Office 16 Kitchen NW Office 27 13 01 05 SE Conference 10 Room Tub Reception SE 14 Bath II NE Office Bath 1 NE 20 04 17 Bath 18 03 Down to 15 26 Basement 6347 Seaview Avenue NW LEGEND FIGURE 1 C*-ATC(206)ttle,WA 98107 N 781-1449 xxX SAMPLE LOCATIONS =Asbestos Sample Location First Floor PROJECT NO: 10.75356.00196 DEMOLITION ASBESTOS SURVEY OF Z PROPOSED O'REILLY AUTOMOTIVE PROPERTY DESIGNED BY:DF SCALE:NTS REVIEWED BY:MC 23030 NORTHEAST STATE ROUTE 3 DRAWN BY:DF DATE:04/2011 FILE:FIGURE 1 BELFAIR,WASHINGTON 98528 24 23 22 Crawl Space FUrnaCe (Inaccessible) i 25 Unfinished Basement .Area �ra•...,,f,...`.,�, AR i 07 08 06 C\VATC(206) 6347 Seaview Avenue NW LEGEND FIGURE 2 Sea WA 98107 : : � 781-1449 XXX =Asbestos Sample SAMPLE LOCATIONS Location Basement PROJECT NO: 10.75356.00196 DEMOLITION ASBESTOS SURVEY OF Z PROPOSED O'REILLY AUTOMOTIVE PROPERTY DESIGNED BY: DF SCALE:NTS REVIEWED BY:MC 23030 NORTHEAST STATE ROUTE 3 BELFAIR,WASHINGTON 98528 DRAWN BY:DF DATE:04/2011 FILE:FIGURE 2 r • (VATC ASS O C I ATE S I N C . DEMOLITION ASBESTOS SURVEY OF PROPOSED O'REILLY AUTOMOTIVE PROPERTY (BFR) 23030 NORTHEAST STATE ROUTE 3 BELFAIR,MASON COUNTY, WASHINGTON 98528 ATC PROJECT NO. 10.75356.0196 APRIL 13,2011 Prepared by: Prepared for: ATC Associates Inc. Ms. Cheryl Green 6347 Seaview Avenue NW O'Reilly Automotive Stores, Inc. Seattle, Washington 98107 233 South Patterson Phone: (206) 781-1449 Springfield, Missouri 65802 Fax: (206) 781-1543 f y 6347 Seaview Avenue NW Seattle, Washington 98107 www.atcassoci ates.com Ph. 206-781-1449 C*. ATCn s s o c a i i s , Fax 206-781-1543 Ms. Cheryl Green April 13,2011 O'Reilly Automotive Stores, Inc. 233 South Patterson Springfield, Missouri 65802 Re: Demolition Asbestos Survey Report Proposed O'Reilly Automotive Property 23030 Northeast State Route 3 Belfair, Washington 98528 ATC Project No. 10.75356.0196 Dear Ms. Green: In accordance with the ATC Associates Inc. (ATC) proposal, dated February 17, 2011, ATC has completed the demolition asbestos survey within the above-referenced property. This report includes the procedures and methodologies utilized, analytical laboratory results,and applicable conclusions and recommendations. During this inspection, ATC identified the wallboard and joint compound system to contain trace (less than one-percent)asbestos at the referenced property. Based on the intended demotion of the building, it is understood that the trace asbestos-containing wall system will be disturbed. The Washington State Department of Labor and Industries (L&I) regulates these materials when they are impacted. Until a negative exposure assessment is performed during the removal of the trace asbestos materials, the contractor will have to follow procedures set forth by L&I under Washington Administrative Codes (WAC) and the Washington Industrial Safety and Health Act (WISHA) Regional Directive (WRD) 23.30, including worker protection methods and the use of engineering controls. Additionally, ATC was unable to collect samples of the asphaltic shingle roofing, ceramic tile with associated mastic and grout in the bathroom, laminate kitchen countertop with mastic, black fabric flex connector on the basement furnace and mastic dots beneath 12-inch ceiling tiles at the property. Suspect ACMs that were not collected during our survey are presumed asbestos-containing material (PACM). The scheduled demolition project will impact these materials, which will require further sampling, abatement and/or special removal techniques,prior to disturbance. ATC appreciates the opportunity to perform these services for O'Reilly Automotive Stores, Inc. and we look forward to working with you in the future. In the meantime if you have questions or comments regarding the information in this report or if we can be of further assistance, please do not hesitate to contact the ATC Seattle office at 206-781-1449. Sincerely, ATC Associates Inc. / /� * 04"-ir, �� v/ ✓�_ Hillary Williams Martin H.Cohen Project Manager Project Scientist Y DEMOLITION ASBESTOS SURVEY REPORT Proposed O'Reilly Automotive Property(BFR) 23030 Northeast State Route 3 Belfair,Washington ATC Project No. 10.75356.0196 TABLE OF CONTENTS LETTER OF TRANSMITTAL...........................................................................................................i 1.0 PURPOSE AND SCOPE OF SERVICES...................................................................................1 2.0 GENERAL SITE CONDITIONS.................................................................................................2 3.0 REPRESENTATIVE ASBESTOS-CONTAINING MATERIAL SURVEY..........................3 3.1 Homogeneous Areas..............................................................................................................4 3.2 Hazard Assessment Factors ...................................................................................................4 3.3 Sampling Strategy..................................................................................................................5 3.4 Suspect Asbestos-Containing Material...................................................................................6 3.5 Laboratory Analytical Results................................................................................................8 4.0 RECOMMENDATIONS............................................................................................................10 5.0 ASSUMPTIONS AND LIMITATIONS....................................................................................13 APPENDICES APPENDIX A:LABORATORY ANALYTICAL RESULTS APPENDIX B:INSPECTOR AND LABORATORY ACCREDITATIONS APPENDIX C:SAMPLE LOCATION FIGURES PRE-DEMOLITION ASBESTOS SURVEY REPORT Proposed O'Reilly Automotive Property(BFR) 23030 Northeast State Route 3 Belfair, Washington 98528 1.0 PURPOSE AND SCOPE OF SERVICES The purpose of this project was to conduct a pre-demolition asbestos survey of the structure located at 23030 Northeast State Route 3, Belfair, Mason County, Washington. The survey was conducted in accordance with ATC Associates Inc.'s (ATC's) written proposal, dated February 17, 2011. ATC provided the services in accordance with the referenced agreement, and as outlined below: Conduct a representative asbestos survey in the identified building, which includes the following: I. Survey the structure on the designated parcel. 2. Identify accessible suspect asbestos-containing materials(ACMs). 3. Collect and analyze bulk samples of suspect ACMs with regards to applicable federal and Washington regulations pertaining to asbestos and the demo lition/renovation of structures. 4. Quantify ACMs, including material condition and location for the purposes of abatement prior to demo lition/renovation. Demolition ;asbestos Survey Page No 2 23030 NE State Route 3, Belfair,Washington 2.0 GENERAL SITE CONDITIONS The location of the property is a generally commercial and residential area in Belfair, Washington. The property consists of one building, which was unoccupied during our site visit and was formerly used as a commercial office and as a residence. The building is single-story with basement, comprises approximately 1,650 square feet, and was constructed in circa 1954. This structure is constructed of wood framing, with concrete masonry walls in the basement atop a concrete slab foundation. Exterior finishes included painted wood siding and asphaltic roofing shingles. The interior finishes include gypsum wallboard with a textured finish; carpet, vinyl sheet flooring, vinyl floor tile and exposed concrete flooring. The structure is heated with an electric forced air furnace located in the basement. Demolition Asbestos Survey Page No 3 23030 NE State Route 3,Belfair,Washington 3.0 REPRESENTATIVE ASBESTOS-CONTAINING MATERIAL SURVEY ATC representative Ms. Hillary Williams conducted the asbestos survey within the property structure. Ms. Williams is an AHERA-licensed asbestos building inspector. The property building was visually inspected for the presence of building materials that are suspected to contain asbestos. Bulk samples were obtained of materials suspect to contain asbestos and are categorized as "Regulated Asbestos-Containing Materiar, (RACM) under the United States Environmental Protection Agency (EPA), 40 C.F.R. Part 61, Subpart M, known as the National Emissions Standard for Hazardous Air Pollutants (EPA NESHAP). RACM is defined in Sec. 61.141 of the NESHAP and includes: (1) friable asbestos-containing material;(2)Category I non-friable ACM that has become friable; (3) Category I non-friable ACM that has been or will be sanded, ground, cut, or abraded; or(4) Category II non-friable ACM that has already been or is likely to become crumbled, pulverized, or reduced to powder. Friable ACMs include products such as thermal system insulation, plaster material and other ACM that can be crushed or reduced to powder using hand pressure. NESHAP Category I ACM includes asbestos-containing gaskets, packings, resilient floor coverings, resilient floor covering mastic, and asphalt roofing products containing more than one percent asbestos. Category II ACM includes all other non-friable ACM, for example, asbestos-cement (A/C) shingles, A/C tiles, and transite boards or panels containing more than one percent asbestos. Materials visibly identified as non-asbestos (fibrous glass, foam rubber, wood, etc.) were not sampled. The asbestos survey consisted of three basic procedures: 1) conducting a visual inspection of the structures; 2) identifying homogeneous areas (HAs) of suspect surfacing, thermal system insulation, and damaged miscellaneous materials; and 3) sampling accessible, friable and damaged non-friable suspect materials. Demolition Asbestos Survey Page No 4 23030 NE State Route 3,Belfair,Washington 3.1 Homogeneous Areas Prior to collecting any samples, homogenous areas (HAs) were identified and listed to develop a sampling strategy. A homogeneous sampling area can be described as one or more areas of material that are similar in appearance and texture and that have the same installation date and function. The actual number of samples collected from each homogeneous sampling area may vary, based on the type of material and the professional judgment of the inspector. 3.2 Hazard Assessment Factors From the list of suspect homogeneous materials, a physical assessment was performed for each material on the list. A physical assessment includes evaluating the condition, assessing the potential for disturbance, and determining the friability of each material. Friability is a term used to describe the ease in which a building material inherently lends itself to disturbance. By definition, "friable" materials are those that can be crumbled or reduced to powder by hand pressure when dry. Each material on the list was further classified into one of three categories, which have specific sampling requirements for each category. Surfacing Materials: Refers to spray-applied or troweled surfaces such as plaster ceilings and walls, fireproofing, textured paints, textured plasters, and spray- applied acoustical surfaces. Thermal System Insulation: Refers to insulation used to inhibit heat gain or loss on pipes, boilers, tanks, ducts, and various other building components. Miscellaneous Materials: Refers to friable and non-friable products and materials that do not fit in any of the above two categories such as resilient floor covering, baseboards, mastics, adhesives, roofing material, caulking, glazing, and siding. This category also contains wallboard and ceiling tile. All confirmed ACMs were then assessed by their condition as good (intact), fair (damaged), or poor (significantly damaged) per Title 40 Code of Federal Regulations Part 763 (AHERA rule). Material with localized significant damage was also assessed as poor when observed. Demolition Asbestos Survey Page No 5 23030 NE State Route 3,Belfair,Washington 3.3 Sampling Strategy The asbestos inspection was conducted for the purposes of renovation of the building using the minimum number of samples collected for each homogenous area of RACM in accordance with Federal Regulations Part 763 (AHERA rule). Samples obtained of suspect RACMs were collected from the property buildings and were shipped to NVL Laboratories, Inc. in Seattle, Washington for analysis. Hygeia's laboratory is an American Industrial Hygiene Association-National Voluntary Lab Accreditation Program(NVLAP)accredited laboratory for asbestos analysis. If the analytical results indicated that the homogeneous material did not contain asbestos, then the HA (material) would be considered a non-ACM. However, if the analytical results of one or more of the samples collected per HA indicate that asbestos is present in quantities of greater than 1 percent asbestos by weight (as defined by EPA), all of the HA (material) would be treated as an ACM regardless of any other analytical results. Material, which can visually be determined by the accredited inspector to be non-asbestos(i.e., fibrous glass, foam rubber, etc.) is not required to be sampled. Miscellaneous materials require adequately representative sampling, which is typically done by collecting from one to three samples per material. Inspectors typically rely on other survey observations such as the condition, friability, and quantity of material to determine what would be a sufficient amount of samples to accurately evaluate the presence or absence of asbestos content. Actual collection of a bulk asbestos sample involves physically removing a small piece of material and placing it in a marked, airtight container. Sample containers are marked with a unique identification number, which is also noted in the field notes. r Demolition Asbestos Survey Page No 6 23030 NE State Route 3, Belfair,Washington 3.4 Suspect Asbestos-Containing Material Bulk samples were collected by ATC from the property building during the site visit on April 1, 2011. Sample Analysis was performed with associated layers for asbestos content by Polarized Light Microscopy (PLM) utilizing the "Method for the Determination of Asbestos in Bulk Building Materials" EPA 600/R-93/116, July 1993. The samples were analyzed based upon the number of distinct layers(materials) associated with each bulk sample. For example, gypsum wallboard with joint compound are collected as one bulk sample but are analyzed as two distinct materials by the asbestos laboratory,as required by to the Occupational Safety and Health Administration(OSHA). The following table provides a summary of identified, accessible suspect and confirmed ACMs as well as laboratory results: Asbestos Survey Results Proposed O'Reilly Automotive Property 23030 Northeast State Route 3 Belfair,Washington April 1,2011 Material Sample Friable Quantity Description Number(s) Location Condition Yes/No (NESHAP Asbestos Content Category) 01 -NAD Tan S�ray-Applied NW Office,NE 02-NAD Te ture over 01 to 05 Office,Reception,SE Good Yes 2,112 SF 03-NAD Gypsum Wallboard Conference Rm. 04-NAD 05-NAD Tan Spray-Applied 06-NAD Texture over 06 to 08 Basement Good Yes 100 SF 07-NAD Plywood Walls 08-NAD Tan Spray-Applied SW Office,SE 09-NAD Texture over 09 to 11 Conference Rm., Good Yes 711 SF 10-NAD Gypsum Ceiling Kitchen 11 -NAD 12 to 16— GWB is NAD, Wallboard and Joint Joint Compound Compound 12 to 16 Throughout Good No 1,000 SF has 2% Chrysotile. Composite is less than 1% <I% Yellow Mastic under Dark Tan Carpet over Cream Sheet Vinyl 17 Reception Area Good No 168 SF NAD with Off-White Fibrous Backing over Wood Flooring r Demolition Asbestos Suney Page No 7 23030 NE State Route 3, Belfair, Washington Asbestos Survey Results Proposed O'Reilly Automotive Property 23030 Northeast State Route 3 Belfair,Washington April 1,2011 Material Sample Friable Quantity Description Number(s) Location Condition l es/No (NE HAP Asbestos Content Category) Yellow Mastic under Dark Tan 18 NE Office Good 234 SF NAD Carpet over Wood Flooring Tan Sheet Flooring with Diamond Pattern and Fibrous 19 Kitchen Good Yes 255 SF NAD Backing with Tan Mastic over Wood Flooring Cream Sheet Flooring with Diamond Pattern 20 SE Bathroom Food Yes 45 SF ND and Fibrous Backing with White Mastic over Wood Flooring Blackish Tan Sink 21 Kitchen Good No 2 EA NAD Undercoating White Grout 22) Basement Good No 500 SF NAD Painted on CMU Silver Sticky Tape 23 Basement Good No 10 LF NAD on Furnace Black Sticky Tape 24 Basement Good No 10 LF NAD on Furnace Gray Grout on 25 Basement Good No 40 SF NAD Chimney Brick 9"x9" Tan/Gray/Blue 26 NE Bath good No 6 SF 10 Vinyl Floor Tile over Wood 12"x12"White Textured Ceiling 27 NW Office Good Yes 300 Sl' Tile Asphaltic Shingle Not Roof Good No 2,000 SF I'AC11 Roofing&Mastics Sampled 4"x4"Beige Ceramic Wall Tile Not SE Bathroom Good No 100 SF PACM with Associated Sampled Mastic and Grout Black Fabric Flex Not Connector on Sampled Basement Good No 1 EA PACM Furnace Mastic Dots under Not IL 12"xl2"White Sampled NW'Office Good No 634 SF PACM __feilinE Tiles SF: Square Feet NAD:No Asbestos Detected GWB:Gypsum Wallboard Demolition Asbestos Survey Page No 8 23030 NE State Route 3,Belfair,Washington EA: Each or Individual Units CMU: Concrete Masonry Unit LF: Linear Feet Cat. I—NESHAP Category I Non-friable PACM: Presumed ACM ACM may be present in other areas on site in inaccessible or concealed spaces. These spaces include, but are not limited to, the attic, crawlspaces, pipe chases, spaces between wall/ceiling/door cavities, interior of mechanical components such as furnace cavities, interior ducts, beneath foundations, etc. If the demo lition/renovation activities expose these areas, ATC recommends that a thorough assessment of these spaces be conducted at that time to identify and confirm the presence or absence of additional ACMs. Until then, all such unidentified materials should be treated as presumed asbestos containing material (PACM) in accordance with 29 CFR 1926.1101 and 1910.1001. 3.5 Laboratory Analytical Results Bulk samples were analyzed by NVL Laboratories, Inc. (NVL) located in Seattle, Washington, using polarized-light microscopy (PLM) and dispersion staining (EPA Method 600/R-93/116, July 1993). NVL participates in the National Voluntary Laboratory Accreditation Program (NVLAP) quality assurance program for PLM accredited by the National Institute of Standards and Technology (MIST),NVLAP Accreditation No. 102063-0. Any material that contains greater than 1 percent asbestos is considered an ACM and must be handled according EPA, State of Washington and other applicable local regulations. For friable materials, when the amount of asbestos in the sample material is reported as "None- Detected" by PLM analysis, no further verification of the sample results by Point Counting Methodology is recommended. For friable materials, when the amount of asbestos in the sample material is reported at less than 10% by PLM analysis, the client may either assume the amount to be greater than 1%and treat the material Demolition Asbestos Survey Page No 9 23030 NE State Route 3,Belfair,Washington as ACM or require further verification of the amount by Point Counting Methods. If the result obtained by Point Counting is different from the result obtained by PLM analysis, the Point Count Method result should be used. For non-friable materials, when the amount of asbestos in the sample material is reported at greater than 1% by PLM analysis, no further verification of the sample results by alternative methods of identification such as Transmission Electron Microscopy(TEM)Chatfield method is recommended. For non-friable materials, when the amount of asbestos in the sample material is reported as "None- Detected" or less than 1% by PLM analysis, due to the difficulty in analyzing non-friable or resinously bound materials, ATC recommends that these types of materials, which were reported as non-ACMs by PLM, be analyzed using TEM Chatfield method. Copies of the laboratory analytical reports and corresponding chains-of-custody are included in Appendix A. Results are reported in percent asbestos by volume and indicate the types of asbestos. Other common non-asbestos components may also be noted on the analytical reports. Inspector and laboratory accreditations are provided in Appendix B. Demolition .asbestos Survey Page No 10 23030 NE State Route 3, Belfair, Washington 4.0 RECOMMENDATIONS The results of laboratory testing during the asbestos building demolition survey conducted at the commercial building located at 23030 Northeast State Route 3 in Belfair, Washington indicate that the joint compound was also found to contain 2% asbestos, though as a composite with the wallboard, the composite was found to contain less than 1%asbestos (<1%). It should be noted that ATC does not core sample roofing products to prevent voiding roof warrantees and avoid roof leaks. ATC was unable to access the asphaltic shingle roofing for sample collection. Roofing materials and any other suspect ACMs found behind walls or in hidden cavities should be assumed to contain asbestos and handled and disposed accordingly. Prior to performing demolition-related activities, ACMs that may be disturbed must be removed by a Washington State-licensed abatement contractor in accordance with applicable regulations. ATC also recommends contracting the services of an environmental consulting firm to develop an Asbestos Project Design for the asbestos abatement project. In addition,ATC recommends hiring an Industrial Hygiene firm to monitor and document that the contractor activities comply with the L&I, OSHA, EPA, ORCAA and applicable local city and county requirements. During the survey, ATC identified wallboard and joint compound materials to contain trace (less than 1 percent) levels of asbestos. Based on the intended demotion of the building, it is understood that the wall system with trace levels of asbestos will be disturbed. Olympic Region Clean Air Agency(local NESHAP) does not regulate materials containing trace levels of asbestos; however, the Washington State Depart of Labor and Industries (L&I) does regulate these materials, when they are disturbed. L&I does not consider the disturbance of wallboard and joint compound with trace asbestos content an asbestos project; however the removal process of this kind of wallboard system is still regulated by L&I. Employees and/or contractors may not use sanding or grinding or other Demolition Asbestos Survey Page No 11 23030 NE State Route 3, Belfair,Washington destructive techniques on the wall surface and joint compound directly, unless specific engineering controls are taken to protect the work environment, per Washington Industrial Safety and Health Act (WISHA) Regional Directive (WRD) 23.30. The guidelines established by the WRD 23.30 and enforced by L&I do not require removal by a licensed asbestos abatement contractor prior to demolition, but these materials must be removed using the basic asbestos work practice requirements as outlined in WAC 296-62-17712, paragraph (2). Workers must have asbestos awareness and "hands-on" training as required by WAC 296-62-07722, paragraph (5) and WRD 23.30. All work must be supervised by a competent person, as defined by WAC 296-62-07728. If the building is scheduled for demolition, then the wallboard system with trace asbestos can be left in place, but no visible emissions are allowed during the demolition. ATC recommends the constant application of water during demolition activities. For contractor compliance and until a negative exposure assessment (NEA) is performed during the demolition of the trace asbestos materials, the contractor will have to follow procedures set forth by the L&I under the WAC and WRD 23.30 including worker protection methods and the use of engineering controls. According to L&I, some examples of appropriate engineering controls include the use of wet, non-aggressive methods, prompt clean-up, and the use of vacuums equipped with high efficiency particulate air (HEPA) filters. Workers must have asbestos awareness and "hands-on" training as required by WAC 296-62-07722, paragraph (5) and WRD 23.30. Workers must also wear appropriate respiratory protection until air monitoring results determine that worker exposure is below the permissible exposure limit (PEL) for asbestos. Non-friable, asphaltic roofing was observed at the building and presumed to be ACM. ATC recommends testing of this material prior to removal. ATC also recommends contracting the services of an environmental consulting firm certified to complete an Asbestos Project Design for the asbestos abatement project. In addition, ATC recommends hiring an Industrial Hygiene firm Demolition Asbestos Survey Page No 12 23030 NE State Route 3, Belfair, NNashington to monitor and document that the contractor activities comply with the L&I, ORCAA, OSHA, EPA and applicable local city and county requirements. Contractors working within the structure should be made aware of the possibility of concealed ACMs that could be found during interior demolition site activities. Any concealed building materials discovered during site activities or during interior demolition, which are suspected to contain asbestos, should be sampled and analyzed to confirm the presence of asbestos prior to the disturbing such materials. Also note that the manufacture and import of asbestos-containing vinyl floorings, mastics, roofing materials, etc. have not been prohibited by the EPA. As a result, any future replacement materials should be verified to be asbestos-free prior to installation. Demolition Asbestos Survey Page No 13 23030 NE State Route 3, Belfair,Washington 5.0 ASSUMPTIONS AND LIMITATIONS The results, findings, conclusions, and recommendations expressed in the report are based only on conditions that were noted during the April 1, 2011 ATC inspection of the building located at 23030 Northeast State Route 3, Belfair, Washington. ATC's selection of sample locations and frequency of sampling was based on field observations and the assumption that like materials in the same area are homogeneous in content. The report is designed to aid the building owner, architect, construction manager, general contractors, and potential asbestos or lead abatement contractors in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does not have all the components required to serve as an Asbestos Project Design document or an Abatement Workplan. Our professional services have been performed, our findings obtained, and our conclusions and recommendations prepared in accordance with customary principles and practices in the fields of environmental science and engineering. This statement is in lieu of other statements either expressed or implied. This report does not warrant against future operations or conditions, nor does it warrant against operations or conditions present of type or at a location not investigated. This report was prepared exclusively for O'Reilly Automotive Stores, Inc. The scope of services performed in execution of this evaluation may not be appropriate to satisfy the needs of other users, and use or re-use of this document or the findings, conclusions, or recommendations is at the risk of said user. APPENDIX A LABORATORY ANALYTICAL RESULTS 91 f N AZ AR DO US M ATE A1A LS MANAGEMENT•TRAINING•LAB SERVICES April 4, 2011 INVIL. Hillary Williams L A B S ATC Associates, Inc. 6347 Seaview Avenue NW HAZARDOUS Seattle , WA 98107 M A 11 9 1 1 A L s S E R V I C E S RE: Bulk Asbestos Fiber Analysis, NVL Batch#3104657.00 Dear Ms. Williams, Enclosed please find test results for the bulk samples submitted to our laboratory for analysis. Examination of these samples was conducted for the presence of identifiable asbestos fibers using polarized light microscopy (PLM) with dispersion staining in accordance with U.S. EPA/600/R-93/116 Test Method. For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in the sample is determined by visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. If you would like us to further refine the concentration estimates of asbestos in these samples using point counting, please let me know. This report is considered highly confidential and will not be released without your approval. Samples are archived for two weeks following analysis Samples that are not retrieved by the client are discarded after two weeks. Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we can assist you with. Sincerely, *, nical Director NVL LABORATORIES,INC NVLAP Lab Code 102063-0 4708 AURORA AVE N SEATTLE.WA98103.6516 TEL 206.547.0100 w w w.n N l l a b s.cam 1.888.NVL.LABS 1665.5227j FAX 206.634.1936 Enc.: Sample Results nv11a6541nVI1a05.00M NVL Laboratories Inc. a1 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.0100, . 6.63a.1936 nvllabsabs co com Bulk Asbestos Fibers Analysis vrww. By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Protect#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Lab ID: 31024543 Client Sample#: 01 Location: O'Reilly Belfair Layer I of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024544 Client Sample#: 02 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perite None Detected ND None Detected ND Paint Lab ID: 31024545 Client Sample#: 03 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perite None Detected ND None Detected ND Paint Lab ID: 31024546 Client Sample#: 04 Location: O'Reilly Belfair Layer I of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024547 Client Sample #: 05 Location: O'Reilly Belfair Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Note If samples are not homogeneous. then subsamples of the components were analyzed separately All bulk samples are analyzed using EPA 600/R -931116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 1 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547 www Faxabs.co 6.634.1936 Bulk Asbestos Fibers Analysis www nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Protect#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024548 Client Sample#: 06 Location. O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024549 Client Sample#: 07 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024550 Client Sample#: 08 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with gray paint(on trace wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Lab ID: 31024551 Client Sample#: 09 Location: O'Reilly Belfair Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date: 04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Note. If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 2 of 9 NVL Laboratories Inc. Lf- 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel 206.547.0100, Fax: 206.634.1936 nvllabs.com Bulk Asbestos Fibers Analysis www. By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 1 of 1 Description: Off-white compacted powdery material with white paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Lab ID: 31024552 Client Sample#: 010 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white compacted powdery material with white paint and trace sandy material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Paint None Detected ND None Detected ND Sand Lab ID: 31024553 Client Sample#: 011 Location: O'Reilly Belfair Layer 1 of 1 Description: Off-white thin compacted powdery material with white paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles. Binder/Filler, Paint None Detected ND None Detected ND Lab ID: 31024554 Client Sample#: 012 Location: O'Reilly Belfair Comments: Composite result for Layer 3 &Layer 4 and Layer 5 equals less than 1%asbestos Layer 1 of 5 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Layer 2 of 5 Description: White soft material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Layer 3 of 5 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick r Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%. 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector This report shall not be reproduced except in full,without written approval of NVL Laboratories. Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 3 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:2os.547.www. absFax.co6.63a.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Prcject#: 10.75356.0196 Task 76002 Seattle, WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 4 of 5 Description: Off-white thin compacted powdery material with blue paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 5 of 5 Description: Off-white chalky material with paper(on wood) Non-Fibrous Materials: Other Fibrous Materials.% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 20% None Detected ND Lab ID: 31024655 Client Sample#: 013 Location: O'Reilly Belfair Comments: Composite result for whole sample is less than 1%asbestos Layer 1 of 4 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND None Detected ND Layer 2 of 4 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 3 of 4 Description: Off-white compacted powdery material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler Cellulose 37% Chrysotile 2% Layer 4 of 4 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Gypsum/Binder Cellulose 17% None Detected ND Lab ID: 31024556 Client Sample#: 014 Location: O'Reilly Belfair Comments: Composite result for whole sample is less than 1%asbestos Layer I of 4 Description: White compacted powdery material with paint Non-Fibrous Materials Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date: 04/04/2011 i Reviewed by: Nick Ly Date:04/04/2011 Nick Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%. 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 4 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547www. absFax.co6.63a.1936 Bulk Asbestos Fibers Analysis vrww.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Paint Layer 2 of 4 Description: Off-white compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 3 of 4 Description: Off-white compacted powdery material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler Cellulose 40% Chrysotile 2% Layer 4 of 4 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 15% None Detected ND Lab ID: 31024557 Client Sample#: 015 Location: O'Reilly Belfair Layer 1 of 3 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Layer 2 of 3 Description: Off-white soft material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Layer 3 of 3 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 22% None Detected ND Lab ID: 31024558 Client Sample#: 016 Location: O'Reilly Belfair Comments: Composite result for Layer 4&Layer 5 and Layer 6 equals less than 1%asbestos Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Ir Note: If samples are not homogeneous, then subsamples of the components were analyzed separately All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9?/0, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 5 of 9 NVL Laboratories Inc. LU 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.547.www. absFax.co6.634.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 1 of 6 Description: White compacted powdery material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Perlite None Detected ND None Detected ND Paint Layer 2 of 6 Description: Off-white soft material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles. Binder/Filler None Detected ND None Detected ND Layer 3 of 6 Description: White compacted powdery material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Layer 4 of 6 Description: Off-white compacted powdery material with green paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler, Paint None Detected ND Chrysotile 2% Layer 5 of 6 Description: Off-white compacted powdery material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler Cellulose 40% Chrysotile 2% Layer 6 of 6 Description: Off-white chalky material with paper Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Gypsum/Binder Cellulose 25% None Detected ND Lab ID: 31024559 Client Sample#: 017 Location: O'Reilly Belfair Layer 1 of 3 Description: Light beige soft mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Synthetic fibers <1% None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Irec Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -931116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%) This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 6 of 9 NVL Laboratories Inc. a� 4708 Aurora Ave. N..Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Te1:206.s47.www. absFax.co6.634.1936 Bulk Asbestos Fibers Analysis www.nvllabs.com By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle ,WA 98107 Date Received. 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 2 of 3 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials-.% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 3 of 3 Description: Light gray fibrous backing with mastic(on trace wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Mastic/Binder Cellulose 60% None Detected ND Glass fibers 3% Lab ID: 31024560 Client Sample#: 018 Location: O'Reilly Belfair Layer 1 of 1 Description: Trace multi-color woven fibrous material with mastic(on wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Mastic/Binder Synthetic fibers 35% None Detected ND Lab ID: 31024561 Client Sample#: 019 Location O'Reilly Belfair Layer 1 of 2 Description: Off-white/beige sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 2 of 2 Description: Light gray fibrous backing with tan brittle mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Mastic/Binder Cellulose 67% None Detected ND Glass fibers 1% Lab ID: 31024562 Client Sample#: 020 Location. O'Reilly Belfair Layer 1 of 4 Description: Off-white soft material Non-Fibrous Materials: Other Fibrous Materials % Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Ni oo Note If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-946, 10%=5-15%. 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 7 of 9 NVL Laboratories Inc. Lf- 4708 Aurora Ave. N.,Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:206.547A100, Fax:206.634 1936 www.nvllabs.com Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: ATC Associates, Inc. Batch #: 3104657.00 Address: 6347 Seaview Avenue NW Client Project* 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Layer 2 of 4 Description: Off-white sheet vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Vinyl/Binder, Synthetic foam None Detected ND None Detected ND Layer 3 of 4 Description: Light gray fibrous backing with mastic Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Binder/Filler, Mastic/Binder Cellulose 65% None Detected ND Layer 4 of 4 Description: Trace black brittle material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles, Binder/Filler None Detected ND None Detected ND Lab ID: 31024563 Client Sample#: 021 Location: O'Reilly Belfair Comments: Qualitative analysis was conducted for the presence of asbestos fibers in this sample. Layer 1 of 1 Description: Gray debris Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles. Binder/Filler, Paint Cellulose None Detected ND Mastic/Binder Glass fibers Lab ID: 31024564 Client Sample#: 022 Location: O'Reilly Belfair Layer 1 of 1 Description: Gray cementitious material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Cement/Binder, Paint Cellulose 1% None Detected ND Lab ID: 31024565 Client Sample#: 023 Location O'Reilly Belfair Layer 1 of 1 Description: Clear soft adhesive with foil Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Adhesive/Binder, Metal foil None Detected ND None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick Ir Note: If samples are not homogeneous, then subsamples of the components were analyzed separately All bulk samples are analyzed using EPA 600/R -93/116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 8 of 9 I NVL Laboratories Inc. a� 4708 Aurora Ave. N., Seattle,WA 98103 For the scope of accreditation under NVLAP Lab Code 102063-0 Tel:2os.547.VAW. absFax.co6.634.1936 Bulk Asbestos Fibers Analysis wwrw.nvllabs.com By Polarized Light Microscopy Client. ATC Associates, Inc. Batch M 3104657.00 Address: 6347 Seaview Avenue NW Client Project#: 10.75356.0196 Task 76002 Seattle , WA 98107 Date Received: 04/01/2011 Samples Received: 27 Attention: Ms. Hillary Williams Samples Analyzed: 27 Project Location: O'Reilly Belfair Method: EPA/600R-93/116 Lab ID: 31024566 Client Sample M 024 Location: O'Reilly Belfair Layer 1 of 1 Description: White woven fibrous material with mastic and black elastic material Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Mastic/Binder, Synthetic/Binder Synthetic fibers 45% None Detected ND Lab ID: 31024667 Client Sample#: 025 Location: O'Reilly Belfair Layer 1 of 1 Description: Gray sandy material with paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Binder/Filler, Sand, Paint None Detected ND None Detected ND Lab ID: 31024568 Client Sample#: 026 Location. O'Reilly Belfair Layer 1 of 2 Description: Beige/black vinyl Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Calcareous particles,Vinyl/Binder None Detected ND None Detected ND Layer 2 of 2 Description: Brown brittle mastic(on trace wood) Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Mastic/Binder Cellulose 3% None Detected ND Lab ID: 31024569 Client Sample#: 027 Location: O'Reilly Belfair Layer 1 of 1 Description: Tan compressed fibrous material with textured paint Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: % Fine particles, Adhesive/Binder, Paint Cellulose 94% None Detected ND Sampled by: Client Analyzed by: Nadezhda Prysyazhnyuk Date:04/04/2011 Reviewed by: Nick Ly Date:04/04/2011 Nick L c Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using EPA 600/R -931116 Method with the following measurement uncertainties for the reported %Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40 -60%) This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full,without written approval of NVL Laboratories,Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government. Page 9 of 9 A � BATCH ID NVL Laboratories, Inc. CHAIN of CUSTODY 3104657.00 4708 Aurora Ave N, Seattle, WA 98103 Tel: 206.547.0100 Emerg.Pager:206.344.1878 SAMPLE LOG L A , B 5 Fax:206.634.1936 1.888.NVL.LABS(685.5227) Client ATC Associates - - - - NVL Batch Number- Street 6347 Seaview Avenue NW _ _ _ Client Job Number 10-75356.0196 T_ask_760_02 Seattle.WA 98107 - - - - - - Total Samples Project Manager Hillary Williams- - Turn Around Time - 1-Hr ;_24-Hrs Days Project Location O'Reilly Belfair _ _ 2-Hrs ;2 Days 5 Days - - - - - - - J 4-Hrs 3 Days [6 to 10 Days Please call for TAT less than 24 Hrs Email address hillary_williams@atcassociates.com Phone: (206)781-1449 Fax: (206)781-1543 Cell (206)300-0841- - - - Asbestos Air �]PCM(NIOSH 7400) [ TEM(NIOSH 7402) L;TEEM(AHERA) I TEM(EPA Level 11) f ll Other _ _ J x Asbestos Bulk 'ic PLM(EPA/600/R-93(116) L,PL_M(EPA Point Count) !PLM(EPA Gravimetry) OTEM Bulk METALS Det Umit Matrix s - - -i RCRA Metals =-]All 8 _ -�� Total Metals ppm(AAS) LI Air Filter ; Paint Chips i Arsenic(As) -1 Lead(Pb) !LI All TCLP :ppb(GFAA) r1 Drinking water Paint Chips(Area) _ Barium(Ba) 1 Mercury �(1 Copper(Cu) ?DusNwipe _ 'Waste Water -_ Cadmium(Cd) I Selenium(Se) L.1 Nickel(Ni) !Sal 1_,Chromium(Cr) Silver(Ag) IrJ Zinc(n) Other Types Fiberglass L-Nuisance Dust (1 Other(Specify) of Analysis -' Silica Respirable Dust Condition of Package:- Good (-i Damaged(no spillage) r1 Severe damage(spillage) Seq.# Lab ID Client Sample Number., Comments !AIR 5 8 910 - - - - -- - - - - - - - 12 13 14 15 Print Below _ S' gB Company _ Date Sampled bylHillary Williams _ ATC Associates _ Relinquished by Hillary William ATC Associates - y /� Received by 1,0- Analyzed by Results Called by Special Instructions: Unless requested in wri'ng,all samples will be disposed of two(2)weeks after analysis. i i ATC PROD. NO. �D S ' l ?UOV-2 DATE v f� ( t PAGE of �Uj LTC BULK SAMPLE LOG CLIENT: D��•I r AREArY AREA NAMEIDESCRIPTION AREAIt AREA NAMEIDESCRIPTION T,, . ASSOCIATES INC. ti f II W Q l L,�� `✓ h d y`f ENVIRONMENTAL,GEOTECHNICAL AND MATERIALS PROFESSIONALS PROJECT: ' iv 'f 1 � 6347 Seaview Ave.NW-Seattle,WA 98107 EVALTR:_ •Vl1i I�i a y� _S L1NIs PosnaEG. PERCENTAGES 1 L N.FT. CtFTrsoTLE P POSITIVE AAIp,51 �Q.C. ((V��r l /^ 2 Sa FT. N NEGATIVE lot � 1�'TC m n� 4 CU.N. 0,1 AREA AREA MTRL MATERIAL ESTIMATED 5 EACH SAMPLE>i BLDGFLOOR 1F USAGE OSE DESCRIPTION OLIANTITY ' h t 0 �V !► . . . . . . F t� 4 . . . . . . . 1, 2 6 C !(. . . . . . .Fr .�.� i . . . . . . . . . ! I j -4 �- t� ' �`�L4`�+"� burr��.Su�'FA4iyr . O:ver . . . . . . .). . . . . . . . . Pit.. . . . . . . . ? j i� Jle. pasoi w.aT3 . . . . t�c�� I .(-c. . . . . . . . . . . . . . . . . . 1 (o 01 SOLER INSULATION T L_MATERIAL CODES(SEE BELOW) 02 BOILER LAGGING AREA USAGE 03 BREECHING INSULATION 24 SPRAY-APPLED ACOUSTIC MATL 43 ROOFWa COMPOSITE FRIABILITY DAMAGE AIRMOVEM7JT ACCESSIBILrrY 04 BREECHMLAG'� 25 AOOUSTICPAEL (ROOF CUT) 1 VOIDICHASE/ 3 STORAGE I2= I= Sm S= OS CHILLER INSULATION 28 ACOUSTK:PANEL(?X2) t♦ Fi00FNGGPSH T CAVITY 4 OCCASIONAL 1 NONFRIABLE I NEE 1 NONETOLAV i LOW OB CHLLER LAGGING 27 ACOUSTIC PANEL(2 X 41 45 ROOFNGSHINGIE 2 MECHANICAL 5 CONTT10lB 2 FRIABLE 2 MINOR 2 MODERATE 2 HIGH 07 STORAGE TANK1EXCHANGERNSL 26 ACOUSTIC TILE(12'X 17) 46 ROOFFLASHNGKG - 3 MAW 3 H131 08 STORAGETA KE)CPANGERLG 29 ACOUSTIC TILE(V X 21 47 ROCFNGFELT FOR LAB USE ONLY 08 PUMP HOUSING INSULATION 30 ACOUSTIC TILE MASTIC 48 ROOFING MASTIC 10 PUMP HOMING LAGGM 41 RESILIENT FLOOR TILE(Ir X 8-) 48 THERMAL INSULATION 11 GASKETRY 32 RESILIENT FLOOR TILE(12'X 12-) 50 HEAT SHIELD 12 FLUE NSUTATION 33 FLOOR TILE MASTIC 51 TRANSITE SHEET MATT 13 TRANSITE PIPE 34 RESILIENT SHEET FLOORING 52 MORTARRXiDUT 14 PIPE FITTING INSULATION 35 SHEET FLOORING MASTIC 63 SINK UNDERCOAT MATERIAL 15 PIPE FITTING NSL LAGGING 38 BASEBOARD 54 POWER LEAD INSULATION 16 PIPE RUN INS 37 BASEBOARD MASTIC 55 WALLPAPER b8 EXTERIOR STUCCO NA $ SIGNATURE/DATE A �17 PPE RUN NSL LAGGING 38 SPRAY-APPLIED FIREPROOFING 56 FABRK7ROPE 60 ROCFPENETRATION 1B PLASTER SROWNISCRATCHCOAT 38 HVACFLEXBLECONNECTOR 57 WOODFLOORMASTIC STD LAB DIRECTORS SIGNATUR E 18 PLASTER FINISH COAT 40 DUCT INSULATION 58 FWEaiATED/NSULATED 61 CARPET MASTIC 20 PIASTER COMPOSITE 41 DUCT NSULAT1ON LAGGING DOOR CORE 62 OTHER(DESCRIBE) 2t WALLBOARD 42 DUCTTAPE 22 JOINTOOMPOLIND WHITE-RETURN TO ATC WITH RESULTS(FILE COPY) YELLOW-LAB COPY PINK-ATC FIELD COPY' REVISED 7190 23 PAINT/COATING ATC PROJ. NO. T- IkGOOZ,DATE: 0 v i' l l PAGE "� OF. BULK SE,.r1PLE LOG CLIENT: D• l AREAL AREA NAME/DESCRIPTION AREA# AREA NAME/DESCRIPTI( v ASSOCIATES INC. t 1 Ll j ENVIRONMENTAL,GEOTECHNICAI AND MATERIALS PROFESSIONALS PRQ)ECT: 5e kPO-k V 7 �� 6347 Seaview Ave.NW-Seattle,WA 98107 EVALTR: "-W�L�,,a4' s ' LUIS POSMEG. PERCENTAGES 2 n ILIN�r. P POSITIVE ` AAMO ITE C1C. QICCDOUTE 3 Snym N 1 i i AREA AREA MTRL MATERIAL ESTIMATED 5 EACH SAMPLE X BLDGIFLOOR U USAGE QaE DESCRIPTION OUANTTIY ► ` b �, 3 : o� 1 U. . . . . . . . . . . . . . . . . . . ss 41,k hen 5100 I 2 w -� 2 bl �{ .�JUIPtN fat N►��n'c .tM' . . rya►-sc t �gar t.'�/aft$ L 1 V V 1 o-"h w wlti K rkit uw1 lY J►, l ,`� . +a.r.tat�t2�'". 6fs wood qj S a4"2 +- fV1n m osf-' --y ar' s U y 3SI.CmAl".4 l.,4 oo v'.br^. .1+!%*rri -S,bAit M,# Vinyl :Ftw 5 W1 MQSA, 01 SOLER INSULATION L MATERIAL CODES(SEE BELO" � 02 BOILER LAGGING AREA USAGE t 03 BREECHING INSULATION 24 SPRAY-APPLIED ACOUSTIC MATL 43 ROOFING COAP061TE FRIABILITY DAMAGE AIR MOVELENT ACCESSIBILITY 04 BREECHING LAGGING 26 ACOUSTIC PANEL (ROOF CUT) 1 VOID/CHASE/ 3 STORAGE !� � gum 05 CHILLERNSULATION 26 ACOUSTIC PANEL(Z X Z) 44 RDOFNGCAPSHEET CAVITY 4 OCCASIONAL 1 NODFRIABLE 1 tcw 1 NOPETOLOW 1 LOW 08 CHILLER LAGGING 27 ACOUSTIC PANEL(Z X 41 45 ROCFNGSHNGLE 2 MECHANICAL 5 C0NTTLXA.6 2 FRIABLE 2 MINOR 2 MODERATE 2 HIGH 07 STORAGE TANK/EXCHANGER NSL 26 ACOUSTIC TILE(12-X 12-) 46 ROOF FLASHING 3 MAJOR 3 HUH 08 STORAGE TANI(EACHANGEALAOG 29 ACOUSTIC TILE(1-X Z) 47 ROCFMFELT FOR LAB USE ONLY 09 PUMP HOUSING NSUATION 30 ACOUSTIC TILE MASTIC 48 ROOFING MASTIC 10 PUMP HOUSING LAGGING 31 RESILIENT FLOOR TILE(9-X 9-) 49 THERMAL NSUATION 11 GASX=TRH' 32 RESILIENT FLOOR TILE(1?X 12-) 60 HEATSHE.LD 12 FLUE NSUL.ATION 33 FLOOR TILE MASTIC S 1 TRANSITE SHEET MAIL 13 TRANSITE PIPE 34 RESILIENT SHEET FLOORIG 52 MORTAR01GI-,i0l1T 14 PIPE FITTING INSULATION 36 SHEET FLOORING MASTIC 63 SINK UNDERCOAT MATERIAL 15 PIPE FITTING NSL LAGGING 36 BASEBOARD 54 POWER LEAD INSULATION 16 PIPE RUN INSULATION 37 BASEBOARD MASTIC 65 WALLPAPER 59 EXTERIOR STUCCO ANALYSrS SIGNATUREMATE 17 PPE RUN INSLLAGGNG 38 SPRAY-APPLIED FIREPROOFING 66 FABRXJROPE 60 ROOF PENETRATION 18 PLASTERBROWWSCRATCHCOAT 39 HVAC FLEXIBLE pONNECTOR 67 WOODFLOORMASM MASTIC 19 PLASTER FINISH COAT 40 DUCT INSULATION 6E FIRE-RATED/NSUULTEO 61 CARPET MASTIC LAB DIRECTORS SIGNATURFJDATE 20 PIASTER COMPOSITE 41 DUCT INSULATION LAGGING DOORCOE 62 OTHER(DESCRBfl 21 WALLBOARD 42 DUCT TAPE 22 JOINTOPAINTIOMPONG WHITE-RETURN TO ATC WITH RESULTS(FILE COPY) YELLOW- LAB COPY PINK-ATC FIELD COPY' REVISED 7190 23 PAINTA'XIATINO PAGEoF V LTC /BcU�L+K S/A/�MPLE LOG ATC PROJ. NO. 10• 3 S LQ • ol�1 kO T 7400Z DATE: 0 ! ASSOCIATES INC. CLIENT: �� (Z L �1 AREA# AREA NAMEIDESCRIPTION AREA# AREA NAMEIDESCRIPTION ,,,,� A,,, D , [I, UENVIRONMENTAL,GEOTECHNICAL AND MATERIALS PROFESSIONALS PROJECT: � 6347 Seaview Ave.NW-Seattle,WA 98107 L"Is G. PERCENTAGES EVALTR: N (i�i i/)►JM ` rfrys 1 N.FT. P POSITIVE �AMOSITE O.C. 2 Sa FT. N NEGATIVE CAOCD01-ATE AREA AREA MTRL MATERIAL ESTIMATED 5 EACH SAMPLE r BLDGFLOOR III USAGE �E DESCRIPTION ITY , vv2 F Mi r nt A S - u-7u ctln .`. 1 I 0,p fw," ,,;, Ila . . . . . . . . () n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01 SOLER NSI"noN I t.— MATERIAL CODES(SEE BELOW) AREA USAGE 02 BOILER LAGGING 03 BREEC HNG NSCJLATON 24 SPRAY-APPLIED ACOUSTIC MATL 43 RDOFNI1CO POSITE !S� FRIABILITY DAMAGE AIR MOVEMENT ACCESSIBILITY 04 BREECHING LA93GM 26 ACOUSTIC PANEL #14"C In 1 CAVITVOIDIY RASE/ 3 STORAGE STLfS � S� Sim 05 CHILLER I ISULATIOH 26 ACOUSTIC PANEL(2 X 7) 44 ROOFNGCAPSHEET CAVITY ♦ OCCASIONAL 1 FRIANONBLE RNIBLE 1 MINONYER 1 MODERATE 1 � 06 CHILLER LAGGNG 27 ACOUSTIC PANEL(2 X 4) 45 ROOFNGSHIVGLE 2 MECHANICAL S OONMICXS 2 FAIAOLE 2 MA 2 MODERATE 2 K31 07 STORAGE TANKSXC HANGER NSL 26 ACOUSTIC TILE(17 X 127 46 ROOF FLASHING 3 MAX1Fi 3 HQ1 06 STORAGE TAN4DXCHWrGERL#M 29 ACOUSTIC TLE(TXT) 47 FOOFFJGF&T FOR LAB USE ONLY 06 PUMP HOUSING INSULATION 30 ACOUSTIC TILE MASTIC 46 ROOFING MASTIC 10 PUMP HOUSING LAGGING 31 RESILIENT FLOOR TILE Or X X•) 4 4 THERMAL NSULATCN 11 GAS1ETRY 32 RESILIENT FLOOR TILE(1?X 127 60 HEAT SHIELD 12 FLUE INSULATION 33 FLOOR TILE MASTIC 61 TRANSRE SHEET MAT'. t3 TRANSITE PIPE 34 RESILI MSFEETRDORINO 52 MIORTARKi'W 14 PIPE FITTING INSULATION 36 SHEET FLOORING MASTIC 63 SINK UNDERODAT MATERIAL 16 PIPE FITTING NSL LAGGING 36 BASEBOARD 64 POWER LEAD INSULATION NA S I A 16 PIPE N RUN SULATION 37 BASEBOARD MASH 55 WALLPAPER 60 EXTERIOR STUCCO 17 PFE RUN NSLLAGGING 36 SPRAY-APPLIED FIREPROOFING 66 FABROFIDPE 60 ROOF PENETRATION 1B PLASTER BROWU=RATCH COAT 30 HVACFLEXIBLEM UM 67 WOOD FLOOR MASTIC MASTIC LAB DIRECTORS IGNATURUD 19 PLASTER FLASH 013AT 40 DUCT NSULATXIN 66 FIRE-RATEDANSLAATED 61 CARPET MASTIC 20 PLASTER COMPOSITE 41 DUCT NSULATON LAGGING DOOR COFE 62 OTHER(DESCRIBE) 21 WALLBOARD 42 DUCT TAPE 22 JOINTCOMPOLID WHITE-RETURN TO ATC WRH RESULTS (FILE COPY) YELLOW-LAB COPY PINK-ATC FIELD COPY REVISED 7190 23 PAINTICOATNG APPENDIX B INSPECTOR AND LABORATORY ACCREDITATIONS l Cxrtt"f t" rate of Completton This is to certify that a � Hillary R. Williams has satisfactorily completed refresher 1 4 hours of y � Asbestos Building Inspector i 7' to comply with the training requirements of y TSCA Title 11 , •EPA 111304 ertificate Number JV4 4 o v, C Mar 30, 2011 Instructor Date(s) of Training Provider •-r: 1085 Score: Expiration Date: Mar 29, 2012 Pacific,Argus ••• W. Nickerson, - Seattle, Washington - 98119 - 206.285.3373 •. . Z'li -_ -�_� Adbk Adak / United States Department of Commerce National Institute of Standards and Technology Certificate of Accreditation to ISOIIEC 17025:2005 NVLAP LAB CODE: 102063-0 NVL Laboratories, .Inc. Seattle, WA is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for: BULK ASBESTOS FIBER ANALYSIS This laboratory is accredited in accordance with the recognized International Standard ISO//EC 17025:2005. This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory quality management system (refer to joint ISO-ILAC-IAF Communique dated January 2009). Q�_ENT OF OQy 4�, nP 9c p� r • � 7 t 2010-10-01 through 201 1-09-30 Effective dates 2�, J �� For the National InstAute of Standards and Technology S1'4TE6 OF P NVLAP-01C(REV. 2009-01-28) 1 Y S�04T OF COS MM� ° National Voluntary a _ 11 L�J Laboratory Accreditation Program z LN FO P�Fi 'lNrES OF SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005 NVL Laboratories,Inc. 4708 Aurora Avenue N. Seattle, WA 98103 Mr. Nghiep Vi Ly Phone:206-547-0100 Fax: 206-634-1936 E-Mail: nick.l@nvllabs.com URL: http://www.nvllabs.com BULK ASBESTOS FIBER ANALYSIS (PLM) NVLAP LAB CODE 102063-0 AVLAP Code Designation/Description 18/A01 EPA-600/M4-82-020: Interim Method for the Determination of Asbestos in Bulk Insulation Samples 2010-10-01 through 2011-09-30 Effective dates For the National Insktute of Standards and Technology Page 1 of 1 NVLAP-01S(REV.2005-05-19) APPENDIX C SAMPLE LOCATION FIGURES Covered 12 F 21 r 11 19 02 Porch 09 SW Office 16 Kitchen NW Office 27 13 01 05 SE Conference - 10 Room Tub Reception SE 14 Bath NE NE Office 20 04 17 Bath 18 03 Down to Basement 15 26 (V—ATC(206) 6347 Seaview Avenue NW LEGEND FIGURE 1 Seattle,WA 98107 781-1449 xxx SAMPLE LOCATIONS =Asbestos Sample Location First Floor PROJECT NO: 10.75356.00196 DEMOLITION ASBESTOS SURVEY OF Z PROPOSED O'REILLY AUTOMOTIVE PROPERTY DESIGNED BY:DF SCALE:NTS REVIEWED BY:MC 23030 NORTHEAST STATE ROUTE 3 BELFAIR,WASHINGTON 98528 DRAWN BY:DF DATE:04/2011 FILE:FIGURE 1 ITT 7- 4 23 22 Furnace Crawl Space ----------------------------------- (Inaccessible) I, 25 Chimney Unfinished Basement AreaAs :%%✓.':': .''•.•:••'rX%'.;•:fir,... 07 08 06 6347 Seaview Avenue NW LEGEND FIGURE 2 C*-ATC(206)Seattle,WA 98107 781-1449 XXX =Asbestos Sample SAMPLE LOCATIONS —� Location Basement PROJECT NO: 10.75356.00196 DEMOLITION ASBESTOS SURVEY OF Z DESIGNED BY:DF SCALE:NTS REVIEWED BY:MC PROPOSED O'REILLY AUTOMOTIVE PROPERTY23030 NORTHEAST STATE ROUTE 3 BELFAIR,WASHINGTON 98528 DRAWN BY:DF DATE:04/2011 FILE:FIGURE 2 =